A 75-year-old with AF on warfarin (INR stable 2.4) needs elective inguinal hernia repair (moderate bleeding risk). What is the recommended bridging st...

Question

A 75-year-old with AF on warfarin (INR stable 2.4) needs elective inguinal hernia repair (moderate bleeding risk). What is the recommended bridging strategy?

Accepted Answer

Hold warfarin ~5 days pre-op without heparin bridging

Answer

Bridge with therapeutic LMWH

Answer

Continue warfarin through surgery

Answer

Switch to DOAC 2 days pre-op

Answer

Add aspirin for thrombo-prophylaxis during hold

us-abim MCQ (SBA): Peri-operative Anticoagulation

A 75-year-old with AF on warfarin (INR stable 2.4) needs elective inguinal hernia repair (moderate bleeding risk). What is the recommended bridging strategy?