Question

A 68-year-old woman with AF and eGFR 50 is scheduled for colonoscopy with polypectomy (high bleeding risk). She takes rivaroxaban 20 mg daily. What is recommended?

Accepted Answer

Stop rivaroxaban ~48 hours prior without bridging

Answer

Stop rivaroxaban 24 hours prior and bridge with LMWH

Answer

Continue rivaroxaban through procedure

Answer

Switch to warfarin

Answer

Hold rivaroxaban for 7 days

Practice question

A 68-year-old woman with AF and eGFR 50 is scheduled for colonoscopy with polypectomy (high bleeding risk). She takes rivaroxaban 20 mg daily. What is recommended?