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SFAR / GIHP — 2026 guidelines

Anticoagulants & invasive procedures

Methodology GRADE · Version 20 April 2026

Procedure with low bleeding risk — no interruption

Ref.RecommendationGrade
2.1VKA: continue treatment; check the INR in the week before the procedure (no overdose).2+
2.2DOAC (apixaban, dabigatran, edoxaban, rivaroxaban): skip the evening dose the day before AND the morning dose on the day of the procedure (whatever the regimen); resume usual doses ≥ 6 h after the procedure.2+

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