Question

A 63-year-old woman with prior DVT is scheduled for an elective low-bleeding-risk dermatologic procedure. She is on apixaban for unprovoked VTE (low recurrence risk). What periprocedural anticoagulation plan is appropriate?

Accepted Answer

Continue apixaban without interruption or brief hold per timing

Answer

Bridge with LMWH after stopping apixaban

Answer

Switch to warfarin before procedure

Answer

Stop all anticoagulation 7 days prior

Answer

Start aspirin as bridge

Practice question

A 63-year-old woman with prior DVT is scheduled for an elective low-bleeding-risk dermatologic procedure. She is on apixaban for unprovoked VTE (low recurrence risk). What periprocedural anticoagulation plan is appropriate?