A 58-year-old man scheduled for elective hernia repair takes apixaban for AF. Normal renal function; procedure has moderate bleeding risk. Per CHEST 2...

Question

A 58-year-old man scheduled for elective hernia repair takes apixaban for AF. Normal renal function; procedure has moderate bleeding risk. Per CHEST 2022, what is the typical perioperative plan?

Accepted Answer

Hold apixaban ~48 hours pre-op; no heparin bridge; resume >24 h post-op if hemostasis

Answer

Continue apixaban through surgery

Answer

Hold apixaban 24 hours and bridge with LMWH

Answer

Switch to warfarin 7 days prior

Answer

Stop 7 days prior and give aspirin

us-abim MCQ (SBA): Perioperative Anticoagulation

A 58-year-old man scheduled for elective hernia repair takes apixaban for AF. Normal renal function; procedure has moderate bleeding risk. Per CHEST 2022, what is the typical perioperative plan?