A stent delivery system, comprising, an elongate shaft including a proximal portion, a distal portion, at least one lumen extending at least partially therethrough, and a stent receiving portion on the distal portion of the elongate shaft; a stent positioned on the stent receiving portion of the elongate shaft, the stent having a first configuration and a second configuration; a proximal constraining arrangement engaged with a proximal end of the stent, the proximal constraining arrangement comprising a first proximal constraining member having a proximal portion, a second proximal portion, and a distal portion, and a second proximal constraining member having a proximal portion and a distal portion, the distal portion of the first proximal constraining member engaged with a first proximal portion of the stent and the distal portion of the second proximal constraining member engaged with a second proximal portion of the stent; a distal constraining arrangement engaged with a distal end of the stent, the distal constraining arrangement comprising a first distal constraining member having a proximal portion, a second proximal portion, and a distal portion, and a second distal constraining member having a proximal portion and a distal portion, the distal portion of the first distal constraining member engaged with a first distal portion of the stent and the distal portion of the second distal constraining member engaged with a second distal portion of the stent; a release wire disposed through the elongate shaft and releasably engaged with portion of the proximal constraining arrangement and the distal constraining arrangement; and a handle assembly operably connected to the proximal constraining arrangement and the distal constraining arrangement, the handle assembly comprising a brake assembly, wherein the proximal constraining arrangement and the distal constraining arrangement are coupled to the brake assembly and wherein the proximal constraining arrangement and the distal constraining arrangement_ apply an axial mechanical force to at least a portion of the stent in the first configuration. an elongate shaft including a proximal portion, a distal portion, at least one lumen extending at least partially therethrough, and a stent receiving portion on the distal portion of the elongate shaft; a stent positioned on the stent receiving portion of the elongate shaft, the stent having a first configuration and a second configuration; a proximal constraining arrangement engaged with a proximal end of the stent, the proximal constraining arrangement comprising a first proximal constraining member having a proximal portion, a second proximal portion, and a distal portion, and a second proximal constraining member having a proximal portion and a distal portion, the distal portion of the first proximal constraining member engaged with a first proximal portion of the stent and the distal portion of the second proximal constraining member engaged with a second proximal portion of the stent; a distal constraining arrangement engaged with a distal end of the stent, the distal constraining arrangement comprising a first distal constraining member having a proximal portion, a second proximal portion, and a distal portion, and a second distal constraining member having a proximal portion and a distal portion, the distal portion of the first distal constraining member engaged with a first distal portion of the stent and the distal portion of the second distal constraining member engaged with a second distal portion of the stent; a release wire disposed through the elongate shaft and releasably engaged with portion of the proximal constraining arrangement and the distal constraining arrangement; and a handle assembly operably connected to the proximal constraining arrangement and the distal constraining arrangement, the handle assembly comprising a brake assembly, wherein the proximal constraining arrangement and the distal constraining arrangement are coupled to the brake assembly and wherein the proximal constraining arrangement and the distal constraining arrangement_ apply an axial mechanical force to at least a portion of the stent in the first configuration.