A 58-year-old woman with AF on apixaban requires elective hip replacement. How should apixaban be managed perioperatively (normal renal function, high...

Question

A 58-year-old woman with AF on apixaban requires elective hip replacement. How should apixaban be managed perioperatively (normal renal function, high bleeding risk surgery)?

Accepted Answer

Stop 48-72 hours before; no routine bridging

Answer

Continue through surgery

Answer

Stop 24 hours before

Answer

Bridge with LMWH

Answer

Switch to warfarin and bridge

us-abim MCQ (SBA): Perioperative DOAC Management

A 58-year-old woman with AF on apixaban requires elective hip replacement. How should apixaban be managed perioperatively (normal renal function, high bleeding risk surgery)?