Question

A 71-year-old woman with paroxysmal AF on apixaban requires elective colonoscopy with low bleeding risk. How should anticoagulation be managed?

Accepted Answer

Continue apixaban without interruption

Answer

Hold apixaban for 72 hours and bridge with LMWH

Answer

Hold apixaban morning dose only

Answer

Switch to warfarin 2 weeks prior

Answer

Reverse apixaban with andexanet for the procedure

Practice question

A 71-year-old woman with paroxysmal AF on apixaban requires elective colonoscopy with low bleeding risk. How should anticoagulation be managed?