Cautery-enabled access and delivery catheter with the preloaded therapeutic AXIOS Stent for an exchange-free procedure. Proprietary one-step combined diathermic ring and cut wire provides easy access into target tissue. Perpendicular flanges secure tissue layers and help to prevent migration Stent creates anastomotic conduit between two lumens large diameter fully covered lumen apposition stent enables rapid, effective drainage and passage of the endoscope for additional therapeutic procedures.