A 70-year-old with AF and CHA₂DS₂-VASc 4 has upper GI endoscopy scheduled (low bleeding risk). What peri-procedural DOAC plan is appropriate?...

Question

A 70-year-old with AF and CHA₂DS₂-VASc 4 has upper GI endoscopy scheduled (low bleeding risk). What peri-procedural DOAC plan is appropriate?

Accepted Answer

Hold DOAC the morning of procedure or 24 hours prior depending on agent/renal function; no bridging

Answer

Bridge with LMWH

Answer

Hold 72 hours for all

Answer

Continue DOAC and add aspirin

Answer

Switch to warfarin

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