Question

A 62-year-old man with atrial fibrillation and prior stroke is on apixaban 5 mg twice daily. His eGFR is 18 mL/min/1.73 m². He now requires an EGD with mucosal biopsy. What is the best peri-procedural plan?

Accepted Answer

Hold apixaban longer pre-procedure (≥72 h) given renal impairment; resume >24 h post-procedure if hemostasis

Answer

No interruption needed

Answer

Bridge with LMWH

Answer

Switch to warfarin immediately

Answer

Stop only morning dose

Practice question

A 62-year-old man with atrial fibrillation and prior stroke is on apixaban 5 mg twice daily. His eGFR is 18 mL/min/1.73 m². He now requires an EGD with mucosal biopsy. What is the best peri-procedural plan?