A 63-year-old woman with AF and bioprosthetic aortic valve 3 years ago is scheduled for colonoscopy with polypectomy. Anticoagulation plan?...

Question

A 63-year-old woman with AF and bioprosthetic aortic valve 3 years ago is scheduled for colonoscopy with polypectomy. Anticoagulation plan?

Accepted Answer

Stop DOAC 48-72 hours before high-bleed-risk procedure; resume after hemostasis

Answer

Bridge with LMWH for all DOACs

Answer

Continue DOAC without interruption

Answer

Switch to warfarin temporarily

Answer

Add aspirin perioperatively

us-usmle-step-2 MCQ (SBA): Periprocedural Anticoagulation