A 63-year-old with nonvalvular AF on warfarin (INR 2.5) needs elective colonoscopy with polypectomy. Perioperative anticoagulation strategy?...

Question

A 63-year-old with nonvalvular AF on warfarin (INR 2.5) needs elective colonoscopy with polypectomy. Perioperative anticoagulation strategy?

Accepted Answer

Hold warfarin ~5 days and do NOT bridge for average thromboembolic risk AF

Answer

Continue warfarin for procedure

Answer

Hold warfarin 5 days; routine LMWH bridging

Answer

Switch to DOAC for the procedure then stop

Answer

Stop warfarin morning of procedure only

us-abim MCQ (SBA): Perioperative Anticoagulation