A 74-year-old with nonvalvular AF on warfarin (stable INR 2.4) is scheduled for elective hernia repair (low-moderate bleeding risk) with no prior stro...

Question

A 74-year-old with nonvalvular AF on warfarin (stable INR 2.4) is scheduled for elective hernia repair (low-moderate bleeding risk) with no prior stroke or mechanical valve. What is recommended?

Accepted Answer

Stop warfarin 5 days before; no bridging

Answer

Continue warfarin through procedure

Answer

Stop warfarin 2 days before; bridge with therapeutic LMWH

Answer

Stop warfarin 7 days before; bridge with heparin

Answer

Switch to DOAC 1 week prior

us-abim MCQ (SBA): Perioperative Anticoagulation (VKA)

A 74-year-old with nonvalvular AF on warfarin (stable INR 2.4) is scheduled for elective hernia repair (low-moderate bleeding risk) with no prior stroke or mechanical valve. What is recommended?