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Reviparin is a low molecular weight heparin (LMWH) anticoagulant derived from porcine intestinal mucosa by nitrous acid depolymerization. It has an average molecular weight of about 3.9 kDa and is characterized by a high anti-factor Xa to anti-factor IIa activity ratio. Reviparin acts by binding to antithrombin and catalyzing the inactivation of coagulation factors Xa and IIa (thrombin), thereby inhibiting the clotting cascade. It is primarily used for the prevention and treatment of deep vein thrombosis (DVT), pulmonary embolism (PE), prophylaxis of perioperative thromboembolism, acute coronary syndrome, and prevention of acute thrombotic events after percutaneous transluminal coronary angioplasty (PTCA). Reviparin generally has a better safety profile than unfractionated heparin with fewer bleeding complications[2][3][5][7][9][10].
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