A 67-year-old with prior fem-pop stent requires colonoscopy with biopsy. On rivaroxaban 2.5 mg BID plus aspirin. Best periprocedural plan?...

Question

A 67-year-old with prior fem-pop stent requires colonoscopy with biopsy. On rivaroxaban 2.5 mg BID plus aspirin. Best periprocedural plan?

Accepted Answer

Hold rivaroxaban 2.5 mg BID appropriately before high-bleed-risk procedure; continue aspirin if possible

Answer

Continue both through biopsy

Answer

Stop aspirin only

Answer

Bridge with heparin

Answer

Hold all antithrombotics for 7-10 days

us-abim MCQ (SBA): Periprocedural Low-Dose Rivaroxaban