A 72-year-old man with chronic atrial fibrillation and hypertension is on Apixaban for stroke prevention. He is scheduled for a low-bleeding-risk dent...

Question

A 72-year-old man with chronic atrial fibrillation and hypertension is on Apixaban for stroke prevention. He is scheduled for a low-bleeding-risk dental extraction. According to perioperative anticoagulation principles, what is the most appropriate management of Apixaban?

Accepted Answer

Hold Apixaban 24 hours before the procedure and resume 24 hours after, without bridging

Answer

Stop Apixaban 5 days before the procedure and bridge with low molecular weight heparin

Answer

Continue Apixaban without interruption

Answer

Switch to Warfarin 1 week prior

Answer

Stop Apixaban on the morning of surgery and restart after 1 month

ca-mccqe1 MCQ (SBA): Perioperative DOAC management

A 72-year-old man with chronic atrial fibrillation and hypertension is on Apixaban for stroke prevention. He is scheduled for a low-bleeding-risk dental extraction. According to perioperative anticoagulation principles, what is the most appropriate management of Apixaban?