A 51-year-old with AF on apixaban and new diagnosis of colon cancer needs major surgery. Perioperative plan includes when to restart apixaban post-op ...

Question

A 51-year-old with AF on apixaban and new diagnosis of colon cancer needs major surgery. Perioperative plan includes when to restart apixaban post-op (high-bleeding-risk).

Accepted Answer

Restart 48-72 hours after hemostasis

Answer

Restart within 12 hours

Answer

Restart at 24 hours regardless

Answer

Do not restart for 30 days

Answer

Bridge with LMWH immediately post-op then apixaban at day 7

us-abim MCQ (SBA): Postoperative DOAC Resumption

A 51-year-old with AF on apixaban and new diagnosis of colon cancer needs major surgery. Perioperative plan includes when to restart apixaban post-op (high-bleeding-risk).