A 70-year-old man with AF and prior GI bleed requires perioperative management for colonoscopy with likely polypectomy. He uses warfarin. Which approa...

Question

A 70-year-old man with AF and prior GI bleed requires perioperative management for colonoscopy with likely polypectomy. He uses warfarin. Which approach minimizes pocket hematoma risk for device procedures and aligns with guidelines for endoscopy?

Accepted Answer

Continue warfarin for pacemaker/ICD procedures; for high-bleed-risk endoscopy, manage per proceduralist with potential temporary interruption

Answer

Bridge all warfarin patients with LMWH

Answer

Switch to DOAC temporarily

Answer

Hold warfarin 10 days for all procedures

Answer

Use aspirin instead of anticoagulation

us-abim MCQ (SBA): Perioperative Anticoagulation (Mixed Procedures)

A 70-year-old man with AF and prior GI bleed requires perioperative management for colonoscopy with likely polypectomy. He uses warfarin. Which approach minimizes pocket hematoma risk for device procedures and aligns with guidelines for endoscopy?