Question

A 70-year-old man has AF and is scheduled for elective hernia repair (moderate bleeding risk). He takes apixaban 5 mg BID, eGFR 70. What is the recommended perioperative management?

Accepted Answer

Stop apixaban 48 hours before surgery without heparin bridging

Answer

Continue apixaban without interruption

Answer

Stop apixaban morning of surgery only

Answer

Stop apixaban and bridge with therapeutic LMWH

Answer

Switch to warfarin 2 weeks prior

Practice question

A 70-year-old man has AF and is scheduled for elective hernia repair (moderate bleeding risk). He takes apixaban 5 mg BID, eGFR 70. What is the recommended perioperative management?