A 70-year-old with CHA₂DS₂-VASc 6 on apixaban requires elective colonoscopy with polypectomy (high bleeding risk). CrCl 60 mL/min. How to manage apixa...

Question

A 70-year-old with CHA₂DS₂-VASc 6 on apixaban requires elective colonoscopy with polypectomy (high bleeding risk). CrCl 60 mL/min. How to manage apixaban?

Accepted Answer

Hold 48-72 hours prior without bridging

Answer

Continue through procedure

Answer

Hold 24 hours prior

Answer

Hold 7 days and bridge with LMWH

Answer

Switch temporarily to warfarin

us-abim MCQ (SBA): Perioperative Anticoagulation

A 70-year-old with CHA₂DS₂-VASc 6 on apixaban requires elective colonoscopy with polypectomy (high bleeding risk). CrCl 60 mL/min. How to manage apixaban?