A 68-year-old male with AF and CHA₂DS₂-VASc 3 is scheduled for elective colon polypectomy (high bleeding risk). Apixaban management?...

Question

A 68-year-old male with AF and CHA₂DS₂-VASc 3 is scheduled for elective colon polypectomy (high bleeding risk). Apixaban management?

Accepted Answer

Hold apixaban ~48 hours before the procedure without bridging

Answer

Continue apixaban

Answer

Bridge with LMWH for 48 hours

Answer

Hold for 7 days

Answer

Switch to warfarin

us-abim MCQ (SBA): DOAC perioperative management