A 53-year-old man with AF on apixaban asks about colonoscopy with biopsy (low bleeding risk). Timing?...

Question

A 53-year-old man with AF on apixaban asks about colonoscopy with biopsy (low bleeding risk). Timing?

Accepted Answer

Hold apixaban the day before (approximately 24 hours) and resume evening after if hemostasis

Answer

Stop apixaban 3 days before

Answer

Bridge with LMWH

Answer

No hold needed ever

Answer

Stop 7 days before

us-abim MCQ (SBA): Low-Risk Procedure DOAC Hold