By vgreene, 2 August, 2016 Hold2 apixaban 2 days before procedure (last dose 3 days before procedure)
By vgreene, 2 August, 2016 Hold apixaban1,2 x2 days, perform heparin (anti-Xa activity) test, no need for LMWH bridging, consider expert consult if VTE event was recent, warning w/ epidural catheters/neuraxial anesthesia;3 if also on antiplatelet tx, manage based on agent
By vgreene, 2 August, 2016 Avoid DOACs w/ epidural catheters or neuraxial anesthesia due to bleeding risk
By vgreene, 2 August, 2016 Contact proceduralist/surgeon for specific indications/questions in individual pt clinical scenarios