A 70-year-old man with atrial fibrillation and a prior ischaemic stroke is on apixaban. He is scheduled for elective colonoscopy with possible polypec...

Question

A 70-year-old man with atrial fibrillation and a prior ischaemic stroke is on apixaban. He is scheduled for elective colonoscopy with possible polypectomy. According to Australian periprocedural anticoagulation guidance, what is the MOST appropriate strategy?

Accepted Answer

Stop apixaban 2-3 days before the procedure and resume after achieving haemostasis

Answer

Continue apixaban without interruption

Answer

Switch to warfarin for 1 week before the procedure

Answer

Bridge with low molecular weight heparin while holding apixaban

Answer

Stop apixaban for 10 days before the procedure

au-racp MCQ (SBA): Periprocedural DOAC management

A 70-year-old man with atrial fibrillation and a prior ischaemic stroke is on apixaban. He is scheduled for elective colonoscopy with possible polypectomy. According to Australian periprocedural anticoagulation guidance, what is the MOST appropriate strategy?