Question

A 73-year-old man with AF (CHA₂DS₂‑VASc 4) is on apixaban. He will undergo elective low-bleeding-risk endoscopy. According to CHEST perioperative guidance, what is appropriate?

Accepted Answer

Hold apixaban 24 hours before and resume after hemostasis

Answer

Switch to warfarin 1 week prior

Answer

Bridge with therapeutic LMWH

Answer

Continue apixaban without interruption for all procedures

Answer

Stop apixaban 5 days in advance

Practice question

A 73-year-old man with AF (CHA₂DS₂‑VASc 4) is on apixaban. He will undergo elective low-bleeding-risk endoscopy. According to CHEST perioperative guidance, what is appropriate?