A 59-year-old with atrial fibrillation on apixaban needs colonoscopy with possible polypectomy (moderate bleeding risk). Creatinine clearance 80 mL/mi...

Question

A 59-year-old with atrial fibrillation on apixaban needs colonoscopy with possible polypectomy (moderate bleeding risk). Creatinine clearance 80 mL/min. How should apixaban be managed?

Accepted Answer

Hold for ~48 hours prior

Answer

Continue through procedure

Answer

Hold for 24 hours only

Answer

Bridge with LMWH

Answer

Switch to warfarin

us-abim MCQ (SBA): Periprocedural DOAC-Colonoscopy

A 59-year-old with atrial fibrillation on apixaban needs colonoscopy with possible polypectomy (moderate bleeding risk). Creatinine clearance 80 mL/min. How should apixaban be managed?