A 59-year-old scheduled for elective colectomy (high bleeding risk) is on apixaban 5 mg BID for AF, CrCl 80 mL/min. Perioperative plan per CHEST?...

Question

A 59-year-old scheduled for elective colectomy (high bleeding risk) is on apixaban 5 mg BID for AF, CrCl 80 mL/min. Perioperative plan per CHEST?

Accepted Answer

Stop apixaban 2 days before surgery without bridging

Answer

Continue apixaban through surgery

Answer

Bridge with therapeutic LMWH after stopping apixaban

Answer

Stop apixaban 5 days prior

Answer

Switch to warfarin now and bridge

us-abim MCQ (SBA): Perioperative DOAC Management