A 75-year-old with AF (CHA2DS2-VASc 5) on apixaban has planned dental extraction. No other bleeding risk. What is recommended?...

Question

A 75-year-old with AF (CHA2DS2-VASc 5) on apixaban has planned dental extraction. No other bleeding risk. What is recommended?

Accepted Answer

Hold apixaban the day before and day of procedure without bridging

Answer

Bridge with LMWH after stopping apixaban

Answer

Continue apixaban without interruption

Answer

Switch to warfarin and bridge

Answer

Stop apixaban 7 days before

us-abim MCQ (SBA): Periprocedural Anticoagulation