A 64-year-old with provoked DVT (post-op) on warfarin presents for planned colonoscopy with polypectomy. He has no mechanical valve or recent VTE. How...

Question

A 64-year-old with provoked DVT (post-op) on warfarin presents for planned colonoscopy with polypectomy. He has no mechanical valve or recent VTE. How should periprocedural anticoagulation be managed?

Accepted Answer

Stop warfarin 5 days prior; no heparin bridging

Answer

Continue warfarin and proceed

Answer

Stop warfarin 2 days prior and bridge with LMWH

Answer

Switch to DOAC temporarily

Answer

Give vitamin K 5 mg then restart after procedure

us-abim MCQ (SBA): Warfarin-Periprocedural Management

A 64-year-old with provoked DVT (post-op) on warfarin presents for planned colonoscopy with polypectomy. He has no mechanical valve or recent VTE. How should periprocedural anticoagulation be managed?