Question

A 70-year-old with nonvalvular AF on warfarin (INR stable) needs elective hernia repair. RCRI 0; no recent stroke. What perioperative anticoagulation approach is recommended?

Accepted Answer

Stop warfarin ≥5 days prior; no heparin bridging

Answer

Continue warfarin through surgery

Answer

Stop warfarin 2 days prior and bridge with therapeutic LMWH

Answer

Stop warfarin and start DOAC 3 days prior

Answer

Bridge with IV heparin for all patients with AF

Practice question

A 70-year-old with nonvalvular AF on warfarin (INR stable) needs elective hernia repair. RCRI 0; no recent stroke. What perioperative anticoagulation approach is recommended?