A stent delivery system includes an inner 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. An outer elongate shaft including a proximal portion, a distal portion, and first, second, and third lumens. A stent is positioned on the stent receiving portion of the elongate shaft, the stent having a first configuration and a second configuration. A proximal constraining arrangement is engaged with a proximal end of the stent. A distal constraining arrangement is engaged with a distal end of the stent. The first proximal constraining member is positioned within the first lumen of the outer elongate shaft, the second proximal constraining member is positioned within the second lumen of the outer elongate shaft, and the distal constraining arrangement is positioned within the inner elongate shaft.