Question

A 74-year-old man with nonvalvular AF on warfarin (therapeutic INR 2.4) is scheduled for pacemaker implantation. What is the recommended perioperative anticoagulation management?

Accepted Answer

Continue warfarin during the procedure

Answer

Hold warfarin and bridge with therapeutic LMWH

Answer

Stop warfarin 5 days prior and no bridging

Answer

Switch to DOAC 7 days before procedure

Answer

Bridge with IV heparin for 48 hours

Practice question

A 74-year-old man with nonvalvular AF on warfarin (therapeutic INR 2.4) is scheduled for pacemaker implantation. What is the recommended perioperative anticoagulation management?