A 64-year-old undergoing elective inguinal hernia repair is on apixaban for AF (CHA2DS2-VASc 3). Procedure is low bleeding risk. Perioperative plan?...

Question

A 64-year-old undergoing elective inguinal hernia repair is on apixaban for AF (CHA2DS2-VASc 3). Procedure is low bleeding risk. Perioperative plan?

Accepted Answer

Hold apixaban 24 hours before procedure; no bridging

Answer

Bridge with LMWH after stopping apixaban

Answer

Continue apixaban without interruption

Answer

Hold apixaban 72 hours and bridge with heparin

Answer

Switch to warfarin pre-op

us-abim MCQ (SBA): Perioperative DOAC Management