Question

A 51-year-old with a history of AF is scheduled for pacemaker implantation while on warfarin (INR 2.4). What is the recommended perioperative anticoagulation approach?

Accepted Answer

Continue warfarin during the procedure

Answer

Stop warfarin and bridge with therapeutic LMWH

Answer

Stop warfarin 5 days prior without bridging

Answer

Switch to DOAC 2 weeks before

Answer

Hold warfarin and give prophylactic heparin only

Practice question

A 51-year-old with a history of AF is scheduled for pacemaker implantation while on warfarin (INR 2.4). What is the recommended perioperative anticoagulation approach?