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LOW risk for bleeding
LOW risk for bleeding
Withholding
Withholding
Do not withhold
Reinitiation
Reinitiation
Not applicable
HIGH risk for bleeding
HIGH risk for bleeding
Withholding
Withholding
2-3 days if CrCl > 50 mL/min
3–5 days if CrCl ≤ 50 mL/min
Reinitiation
Reinitiation
24 hours
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