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To date, a variety of LAMS sizes have been commercially available, with the previously largest LAMS diameters available being 15 mm and 16 mm from two different manufacturers. Recently, a LAMS with a 20-mm lumen was released for a limited commercial launch. This device, known commercially as the Axios stent (Boston Scientific, Natick, MA, USA), is supplied preloaded on an electrocautery-enhanced catheter which is used to both access the PFC through EUS guidance and to deploy the stent. This is currently the largest diameter LAMS available. We performed a retrospective multicenter, pilot study of the new 20-mm Axios stent to evaluate it with regard to technical success, clinical success, and adverse events.

A pilot study of a 20-mm lumen-apposing metal stent to treat pancreatic fluid collections: First reported multicenter use of a new device