A 65-year-old with AF on apixaban requires urgent cholecystectomy for perforated cholecystitis; last dose 30 hours ago; eGFR 80. What perioperative pl...

Question

A 65-year-old with AF on apixaban requires urgent cholecystectomy for perforated cholecystitis; last dose 30 hours ago; eGFR 80. What perioperative plan is appropriate?

Accepted Answer

Proceed without reversal; timing since last dose and normal renal function may suffice

Answer

Delay 72 hours always

Answer

Bridge with heparin

Answer

Reversal with idarucizumab

Answer

Switch to warfarin now

us-abem MCQ (SBA): Urgent Surgery (DOAC Timing)

A 65-year-old with AF on apixaban requires urgent cholecystectomy for perforated cholecystitis; last dose 30 hours ago; eGFR 80. What perioperative plan is appropriate?