Table 4. Management of last intake of non-vitamin K antagonist oral anticoagulants (NOACs) before elective procedures taking into consideration ?bleeding risk and renal function (adapted from [38]).
Dabigatran | Apixaban – Edoxaban – Rivaroxaban | |||
Creatinine clearance | Low bleeding risk | High bleeding risk | Low bleeding risk | High bleeding risk |
≥ 80 mL/min | ≥ 24 h | ≥ 48 h | ≥ 24 h | ≥ 48 h |
50–80 mL/min | ≥ 36 h | ≥ 72 h | ≥ 24 h | ≥ 48 h |
30–50 mL/min | ≥ 48 h | ≥ 96 h | ≥ 24 h | ≥ 48 h |
15–30 mL/min | Not indicated | Not indicated | ≥ 36 h | ≥ 48 h |
<15 ml/min | No approved NOAC indication |