Question

A 42-year-old with suspected appendicitis is on apixaban for AF. Urgent surgery is needed. What perioperative anticoagulation approach is recommended?

Accepted Answer

Hold apixaban with timing based on renal function and bleeding risk; no routine heparin bridging

Answer

Bridge with heparin for all DOAC patients

Answer

Switch to warfarin then reverse

Answer

Continue apixaban through surgery

Answer

Give vitamin K to reverse apixaban

Practice question

A 42-year-old with suspected appendicitis is on apixaban for AF. Urgent surgery is needed. What perioperative anticoagulation approach is recommended?