What is the optimal number of days to hold apixaban prior to a kidney biopsy or tunneled dialysis catheter placement?

If the patient has normal or mild renal impairment (≥30 mL/min), I will hold apixaban for 2 days prior to the procedure. If the patient has moderate to severe renal impairment (<30 mL/min), I will hold apixaban for 3 to 4 days prior to the procedure.

3 days