A 68-year-old with atrial fibrillation undergoing elective pacemaker placement while on warfarin (INR 2.3). Per CHEST, perioperative plan?...

Question

A 68-year-old with atrial fibrillation undergoing elective pacemaker placement while on warfarin (INR 2.3). Per CHEST, perioperative plan?

Accepted Answer

Continue warfarin through procedure

Answer

Stop warfarin and bridge with LMWH

Answer

Hold warfarin 5 days

Answer

Reverse warfarin with vitamin K

Answer

Switch to DOAC 1 week prior

us-abim MCQ (SBA): Device Implant-Warfarin