A 68-year-old on apixaban for AF is scheduled for a high-bleeding-risk elective abdominal surgery. Renal function is normal. What DOAC interruption is...

Question

A 68-year-old on apixaban for AF is scheduled for a high-bleeding-risk elective abdominal surgery. Renal function is normal. What DOAC interruption is appropriate?

Accepted Answer

Stop apixaban 2 days prior and restart 48-72 hours after surgery

Answer

Stop apixaban the morning of surgery only

Answer

Stop apixaban 1 day prior and restart the evening after surgery

Answer

Continue apixaban through the procedure

Answer

Bridge with LMWH during interruption

us-abim MCQ (SBA): Periprocedural DOAC Management

A 68-year-old on apixaban for AF is scheduled for a high-bleeding-risk elective abdominal surgery. Renal function is normal. What DOAC interruption is appropriate?