A 60-year-old with nonvalvular AF and CHA₂DS₂-VASc 3 is on apixaban and needs elective low-bleeding-risk dental extraction. What periprocedural advice...

Question

A 60-year-old with nonvalvular AF and CHA₂DS₂-VASc 3 is on apixaban and needs elective low-bleeding-risk dental extraction. What periprocedural advice is best?

Accepted Answer

Hold apixaban 24 hours; no bridging

Answer

Continue apixaban without interruption

Answer

Hold apixaban 72 hours and bridge with LMWH

Answer

Switch to warfarin for procedure

Answer

Stop apixaban 7 days before

us-abim MCQ (SBA): Periprocedural DOAC Management

A 60-year-old with nonvalvular AF and CHA₂DS₂-VASc 3 is on apixaban and needs elective low-bleeding-risk dental extraction. What periprocedural advice is best?