A 60-year-old man on warfarin (INR 2.6) for AF needs colonoscopy with polypectomy. Per CHEST guidance, preferred strategy?...

Question

A 60-year-old man on warfarin (INR 2.6) for AF needs colonoscopy with polypectomy. Per CHEST guidance, preferred strategy?

Accepted Answer

Stop warfarin 5 days prior; no bridging for AF with average thrombotic risk

Answer

Continue warfarin without interruption

Answer

Bridge with therapeutic LMWH

Answer

Switch to DOAC temporarily

Answer

Increase INR to 3.5 pre-procedure

us-abim MCQ (SBA): Periprocedural Warfarin-Colonoscopy