Question

A 70-year-old man with long-term atrial fibrillation is stable on Apixaban. He is scheduled for an elective colonoscopy with possible polypectomy. According to UK practice, what is the most appropriate management of his anticoagulation?

Accepted Answer

Stop Apixaban 48 hours before the procedure and restart after haemostasis

Answer

Continue Apixaban without interruption

Answer

Switch to Warfarin temporarily

Answer

Stop Apixaban permanently 7 days before the procedure

Answer

Bridge with therapeutic low-molecular-weight Heparin

Practice question

A 70-year-old man with long-term atrial fibrillation is stable on Apixaban. He is scheduled for an elective colonoscopy with possible polypectomy. According to UK practice, what is the most appropriate management of his anticoagulation?