Question

A 52-year-old with minor head trauma is on apixaban. He needs an elective colonoscopy in 2 weeks with polypectomy anticipated. Per perioperative guidance, what about DOAC interruption?

Accepted Answer

Hold apixaban 48-72 hours before high-bleeding-risk procedure (no bridging)

Answer

Bridge with LMWH when holding DOAC

Answer

Hold morning of only

Answer

Stop a week prior with LMWH bridge

Answer

Continue through procedure

Practice question

A 52-year-old with minor head trauma is on apixaban. He needs an elective colonoscopy in 2 weeks with polypectomy anticipated. Per perioperative guidance, what about DOAC interruption?