Question

A 66-year-old with nonvalvular AF on apixaban needs an elective colonoscopy with possible polypectomy (high bleeding risk). eGFR 80. How to manage anticoagulation periprocedurally?

Accepted Answer

Hold apixaban for ~48 hours before the procedure without bridging

Answer

Continue apixaban through the procedure

Answer

Bridge with LMWH after holding

Answer

Hold for 7 days

Answer

Switch to warfarin temporarily

Practice question

A 66-year-old with nonvalvular AF on apixaban needs an elective colonoscopy with possible polypectomy (high bleeding risk). eGFR 80. How to manage anticoagulation periprocedurally?