A 63-year-old with nonvalvular AF (CHA2DS2-VASc 4) needs elective colonoscopy with polypectomy. He takes apixaban 5 mg bid, normal kidneys. What is re...

Question

A 63-year-old with nonvalvular AF (CHA2DS2-VASc 4) needs elective colonoscopy with polypectomy. He takes apixaban 5 mg bid, normal kidneys. What is recommended?

Accepted Answer

Hold apixaban 48-72 hours pre-procedure without heparin bridging

Answer

Continue apixaban through the procedure

Answer

Hold apixaban and bridge with LMWH

Answer

Switch briefly to warfarin

Answer

No interruption needed for any endoscopy

us-abim MCQ (SBA): Peri-procedural Anticoagulation

A 63-year-old with nonvalvular AF (CHA2DS2-VASc 4) needs elective colonoscopy with polypectomy. He takes apixaban 5 mg bid, normal kidneys. What is recommended?