Question

A 58-year-old on warfarin for AF (CHA2DS2-VASc 3) is scheduled for elective inguinal hernia repair (low bleeding risk). What is the perioperative anticoagulation plan?

Accepted Answer

Hold warfarin ~5 days pre-op without heparin bridging

Answer

Continue full-dose warfarin through surgery

Answer

Bridge with therapeutic LMWH for all AF patients

Answer

Stop warfarin 24 hours prior only

Answer

Switch to DOAC 48 hours pre-op then stop

Practice question

A 58-year-old on warfarin for AF (CHA2DS2-VASc 3) is scheduled for elective inguinal hernia repair (low bleeding risk). What is the perioperative anticoagulation plan?