Be Prepared to Manage Direct Oral Anticoagulants Around Surgery

You'll face questions about how to manage direct oral anticoagulants (DOACs) around procedures or surgery.

When should DOACs be stopped and restarted? Generally hold 1 day before minor procedures, such as colonoscopy or upper endoscopy...since these may involve biopsy or polyp removal.

Typically hold DOACs for 2 days before major procedures, such as abdominal or vascular surgery.