No DOAC was taken on certain days (shaded) and on the day of the elective surgery or procedure. The light blue arrows refer to an exception to the basic management, a subgroup of patients taking dabigatran with a creatinine clearance (C-CI) less than 50 ng/mi. The orange arrows refer to patients having a high-bleed-risk surgical procedure. Dark blue arrows refer to patients having a low-bleed-risk surgical procedure. The thickened orange part of the arrows refer to flexibility in the timing of DOAC resumption after a procedure. *Cancer diagnosed within 3 months or has been treated within 6 months or metastatic.