Together we shape the future of HPB

Bypass​ obstacles to​ biliary access

Lumen-apposing metal stenting​


ERCP has a multitude of applications in diagnosing and treating conditions of the HPB tract. However, on the rare occasions when it is unsuccessful, the patient’s needs still have to be met.​

The Hot AXIOS™ Stent and Electrocautery-Enhanced Delivery System provides you with an opportunity to perform a rescue procedure and reach your target HPB site.​

​With this stent, you can create a secure, translumenal conduit between the gastrointestinal tract and a neighboring fluid-filled cavity to facilitate drainage or create a bypass around a stricture or blockage. ​

View product information for​ the Hot AXIOSTM Stent and Electrocautery-Enhanced Delivery System:​

The Hot AXIOS™ Stent and Electrocautery-Enhanced Delivery System​

The Hot AXIOS™ Stent and Electrocautery-Enhanced Delivery System combines a cautery-enabled access catheter with the revolutionary Hot AXIOSTM stent.​

Hot AXIOS Stent

Hot AXIOS™ is indicated for use to facilitate transgastric or transduodenal endoscopic drainage of: ​

  • ​The bile duct after failed ERCP in patients with biliary obstruction due to a malignant stricture​
  • A pancreatic pseudocyst or a walled-off necrosis  with ≥70% fluid content
  • The gallbladder in patients with acute cholecystitis who are at high risk or unsuitable for surgery​

ESGE recommends:​


The use of endoscopic ultrasound-guided biliary drainage (EUS-BD) over percutaneous transhepatic biliary drainage (PTBD) after failed ERCP in malignant distal biliary obstruction when local expertise is available.¹

A holistic approach to the HPB (hepato-pancreato-biliary) pathway​

Explore the Boston Scientific innovations that facilitate smooth access

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1. van der Merwe SW, van Wanrooij RLJ, Bronswijk M, et al. Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Guidelines. Endoscopy. 2022;54(2):185–205.

CAUTION: The law restricts these devices to sale by or on the order of a physician. Indications, contraindications, warnings, and instructions for use can be found in the product labelling supplied with each device or at Products shown for INFORMATION purposes only and may not be approved or for sale in certain countries. This material not intended for use in France.​​All images owned by Boston Scientific.​