A 62-year-old man with AF undergoing colonoscopy asks about stopping apixaban for low-bleeding-risk procedure (diagnostic only). CrCl 80 mL/min. Best ...

Question

A 62-year-old man with AF undergoing colonoscopy asks about stopping apixaban for low-bleeding-risk procedure (diagnostic only). CrCl 80 mL/min. Best plan?

Accepted Answer

Continue apixaban without interruption

Answer

Hold apixaban 72 hours prior

Answer

Bridge with LMWH

Answer

Stop apixaban 48 hours prior

Answer

Switch to warfarin temporarily

us-abim MCQ (SBA): Perioperative DOAC Management

A 62-year-old man with AF undergoing colonoscopy asks about stopping apixaban for low-bleeding-risk procedure (diagnostic only). CrCl 80 mL/min. Best plan?