A 70-year-old on apixaban for AF is scheduled for colonoscopy with planned polypectomy. Normal renal function. Best periprocedural anticoagulation str...

Question

A 70-year-old on apixaban for AF is scheduled for colonoscopy with planned polypectomy. Normal renal function. Best periprocedural anticoagulation strategy?

Accepted Answer

Hold apixaban for 48-72 hours without heparin bridging

Answer

Continue apixaban; proceed without interruption

Answer

Hold apixaban morning of procedure; bridge with LMWH

Answer

Switch to warfarin 5 days prior

us-abim MCQ (SBA): Periprocedural Anticoagulation

A 70-year-old on apixaban for AF is scheduled for colonoscopy with planned polypectomy. Normal renal function. Best periprocedural anticoagulation strategy?