A 65-year-old with nonvalvular AF on apixaban 5 mg BID is scheduled for an elective colonoscopy with anticipated polypectomy (high bleeding risk). Cre...

Question

A 65-year-old with nonvalvular AF on apixaban 5 mg BID is scheduled for an elective colonoscopy with anticipated polypectomy (high bleeding risk). Creatinine clearance 70 mL/min. What is the best perioperative plan?

Accepted Answer

Hold apixaban 48 hours pre-procedure without bridging

Answer

Continue apixaban through the procedure

Answer

Hold apixaban 24 hours pre-procedure without bridging

Answer

Bridge with therapeutic LMWH after stopping apixaban

Answer

Switch to warfarin 5 days prior

us-abim MCQ (SBA): Perioperative Anticoagulation

A 65-year-old with nonvalvular AF on apixaban 5 mg BID is scheduled for an elective colonoscopy with anticipated polypectomy (high bleeding risk). Creatinine clearance 70 mL/min. What is the best perioperative plan?