A 55-year-old man with nonvalvular AF is scheduled for elective knee arthroplasty. He takes rivaroxaban 20 mg daily, eGFR 90. What is the perioperativ...

Question

A 55-year-old man with nonvalvular AF is scheduled for elective knee arthroplasty. He takes rivaroxaban 20 mg daily, eGFR 90. What is the perioperative plan for a high bleeding risk surgery?

Accepted Answer

Hold rivaroxaban 48 hours pre-op without bridging; resume post-op once hemostasis achieved

Answer

Continue rivaroxaban up to the surgery

Answer

Bridge with LMWH for 5 days

Answer

Hold for 7 days pre-op

Answer

Switch to warfarin for the month prior

us-abim MCQ (SBA): Perioperative Anticoagulation

A 55-year-old man with nonvalvular AF is scheduled for elective knee arthroplasty. He takes rivaroxaban 20 mg daily, eGFR 90. What is the perioperative plan for a high bleeding risk surgery?