Question

A 70-year-old on warfarin for AF (INR 2-3) scheduled for colonoscopy with biopsy. Peri-procedural plan?

Accepted Answer

Stop warfarin 5 days before; no bridging, resume soon after

Answer

Stop 5 days and bridge LMWH

Answer

Continue warfarin for low-bleeding-risk diagnostic colonoscopy only; hold for biopsy

Answer

Switch to DOAC for the procedure

Answer

Hold 24 h only

Practice question

A 70-year-old on warfarin for AF (INR 2-3) scheduled for colonoscopy with biopsy. Peri-procedural plan?