A 66-year-old with persistent AF is on apixaban. He has a planned colon cancer resection. What perioperative anticoagulation strategy is appropriate?...

Question

A 66-year-old with persistent AF is on apixaban. He has a planned colon cancer resection. What perioperative anticoagulation strategy is appropriate?

Accepted Answer

Continue apixaban through surgery

Answer

Bridge with therapeutic LMWH

Answer

Stop apixaban 2-3 days prior (longer if renal impairment), no bridging

Answer

Switch to warfarin then stop day before

Answer

Stop 12 hours prior only

us-abim MCQ (SBA): Perioperative DOAC-Timing