A 69-year-old on apixaban for atrial fibrillation is scheduled for an elective colon polypectomy (moderate bleeding risk). Regarding periprocedural an...

Question

A 69-year-old on apixaban for atrial fibrillation is scheduled for an elective colon polypectomy (moderate bleeding risk). Regarding periprocedural anticoagulation, which is recommended?

Accepted Answer

Hold apixaban for an appropriate interval without heparin bridging

Answer

Bridge with therapeutic LMWH when stopping apixaban

Answer

Continue apixaban through the procedure

Answer

Use IV heparin bridge but stop apixaban day of procedure

Answer

Switch to warfarin 2 weeks prior

us-abim MCQ (SBA): Perioperative Anticoagulation

A 69-year-old on apixaban for atrial fibrillation is scheduled for an elective colon polypectomy (moderate bleeding risk). Regarding periprocedural anticoagulation, which is recommended?