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

Practice 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?