Blood thinners , pacemaker change and Surgery
Please could I ask you your kind advise and/or opinion? My dad who recenlty started having AF is now taking Eliquis as blood thinner and soon to get his PM battery change. He is 70. He was also recently diagnosed with Groin Hernia (moderate) and is recommended to have surgery. Since now he is on blood thinners his EP recommends getting both surgeries done consecutively as he needs to come off blood thinners and while without blood thinners. The Surgeon who's doing Hernia surgery is ok with this and says he can do it the next day under local anasthesia. He also said he will have to turn off the PM for a short time during the surgery. I am a bit concerned on the following and I really value your comments.
1. Would you recommend that it is better to let him recover after the PM change surgery and wait a few months before the Hernia surgery as it doesn't seem needed immedietly. I am woriied that too many interventions at once may be hard on the body to recover.
2. Do coming off blood thinners have a big risk if done at two times? For instance if we have the two surgeries about 6 months apart but considering he has AF.
3. How risky is having the PM turned off dring a surgery - he uses PM for VP for at least 50%. If we are to do this immedietly after he gets the PM change, would it be more risky?
I am thankful to your comments and advise.