A 67-year-old with AF undergoing colonoscopy with polypectomy (higher bleeding risk). Normal renal function on apixaban. Interruption plan?...

Question

A 67-year-old with AF undergoing colonoscopy with polypectomy (higher bleeding risk). Normal renal function on apixaban. Interruption plan?

Accepted Answer

Hold apixaban ~48 hours prior without bridging

Answer

No interruption

Answer

Bridge with LMWH

Answer

Hold 7 days

Answer

Switch to warfarin

us-abim MCQ (SBA): Periprocedural DOAC-High Risk