Question

A 70-year-old with AF scheduled for elective inguinal hernia repair (moderate bleeding risk) takes apixaban 5 mg BID, normal renal function. What is the best perioperative plan?

Accepted Answer

Hold apixaban 48 hours before; no heparin bridging

Answer

Continue apixaban through procedure

Answer

Hold apixaban 24 hours before; no heparin bridging

Answer

Stop apixaban and bridge with therapeutic LMWH

Answer

Switch to warfarin temporarily and proceed

Practice question

A 70-year-old with AF scheduled for elective inguinal hernia repair (moderate bleeding risk) takes apixaban 5 mg BID, normal renal function. What is the best perioperative plan?