Question

A 74-year-old with nonvalvular AF (CHA₂DS₂-VASc 3) on warfarin needs elective hernia repair (moderate bleeding risk). No recent stroke/TIA. Optimal perioperative anticoagulation plan?

Accepted Answer

Stop warfarin 5 days prior; no heparin bridging

Answer

Continue warfarin through surgery

Answer

Stop warfarin 5 days prior; bridge with LMWH

Answer

Switch to DOAC 2 days prior

Answer

Stop warfarin 24 hours before

Practice question

A 74-year-old with nonvalvular AF (CHA₂DS₂-VASc 3) on warfarin needs elective hernia repair (moderate bleeding risk). No recent stroke/TIA. Optimal perioperative anticoagulation plan?