Question

A 70-year-old with persistent AF and CHA₂DS₂‑VASc 5 undergoes elective colonoscopy with low bleeding risk. On apixaban 5 mg BID, normal kidneys. What should be done peri‑procedure?

Accepted Answer

Hold apixaban ~24 hours before a low‑bleeding‑risk procedure; no bridging

Answer

normal kidneys. What should be done peri‑procedure?

Answer

Bridge with LMWH

Answer

Continue apixaban without any modification

Answer

Hold for 72 hours regardless of procedure risk

Practice question

A 70-year-old with persistent AF and CHA₂DS₂‑VASc 5 undergoes elective colonoscopy with low bleeding risk. On apixaban 5 mg BID, normal kidneys. What should be done peri‑procedure?