Table 3. Perioperative use of novel oral anticoagulants*.
Risk of surgery | Dabigatran (pradaxa™) |
Rivaroxaban (xarelto™) |
Apixaban (eliquis™) |
|||||
---|---|---|---|---|---|---|---|---|
CrCl >50 mL/min | CrCl 30-50 mL/min* | CrCl >50 mL/min | CrCl 30-50 mL/min* | CrCl >50 mL/min | CrCl 30-50 mL/min* | |||
Low | ||||||||
Hold | 2 days (2 doses) | 2 days (4 doses) | 2 days (1 dose) | 2 days (1 dose) | 2 days (2 doses) | 2 days (2 doses) | ||
Resume | 1 day after | 1 day after | 1 day after | 1 day after | 1 day after | 1 day after | ||
High | ||||||||
Hold | 3 days (4 doses) | 5 days (8 doses) | 3 days (2 doses) | 3 days (2 doses) | 3 days (4 doses) | 3 day (4 doses) | ||
Resume | 2-3 days after | 2-3 days after | 2-3 days after | 2-3 days after | 2-3 days after | 2-3 days after |
NOAC, new oral anticoagulant; CrCl, creatinine clearance. *, Doses for reduced renal function as described in Table 1. Adapted from Spyropoulos et al.