A 61-year-old on DOAC for AF requires urgent surgery with high bleeding risk. Last dose 30 hours ago; CrCl 40. Best immediate strategy?...

Question

A 61-year-old on DOAC for AF requires urgent surgery with high bleeding risk. Last dose 30 hours ago; CrCl 40. Best immediate strategy?

Accepted Answer

Delay surgery 24-48 hours if feasible to allow drug clearance

Answer

Proceed now; DOAC effect negligible

Answer

Bridge with LMWH immediately

Answer

Give vitamin K

Answer

Start warfarin

us-abim MCQ (SBA): Urgent Surgery on DOAC