Perioperative DOAC management55
| Bleeding risk procedure . | Factor Xa inhibitors dabigatran (CrCl ≥ 50 ml/min) . | Dabigatran (CrCl < 50 ml/min) . |
|---|---|---|
| Low | Hold 1 day before procedure and resume 1 day after | Hold 2 days before procedure and resume 1 day after |
| High | Hold 2 days before procedure and resume 2-3 days after | Hold 4 days before procedure and resume 2-3 days after |
| Bleeding risk procedure . | Factor Xa inhibitors dabigatran (CrCl ≥ 50 ml/min) . | Dabigatran (CrCl < 50 ml/min) . |
|---|---|---|
| Low | Hold 1 day before procedure and resume 1 day after | Hold 2 days before procedure and resume 1 day after |
| High | Hold 2 days before procedure and resume 2-3 days after | Hold 4 days before procedure and resume 2-3 days after |
DOAC, direct oral anticoagulant.