Question

A 55-year-old with AF is scheduled for elective colonoscopy with polypectomy. He takes apixaban for stroke prevention. Renal function is normal. How should apixaban be managed?

Accepted Answer

Stop apixaban morning of procedure only

Answer

Continue apixaban without interruption

Answer

Hold apixaban 3 days before procedure; resume ~24 h after hemostasis

Answer

Bridge with LMWH after stopping apixaban

Answer

Stop apixaban 7 days prior

Practice question

A 55-year-old with AF is scheduled for elective colonoscopy with polypectomy. He takes apixaban for stroke prevention. Renal function is normal. How should apixaban be managed?