Question

An inpatient on warfarin for AF requires elective colon resection (high bleeding risk). Perioperative antithrombotic plan?

Accepted Answer

Stop warfarin and do not bridge in most AF; consider bridging only in very high thrombotic risk

Answer

Bridge with therapeutic LMWH for all AF patients when stopping warfarin

Answer

Continue warfarin through surgery for all

Answer

Switch to heparin drip and continue through surgery

Answer

Give a DOAC the day of surgery instead of warfarin

Practice question

An inpatient on warfarin for AF requires elective colon resection (high bleeding risk). Perioperative antithrombotic plan?