A stent removal device for removing or repositioning a stent from within a lumen is provided. The stent typically comprises at least one element arranged circumferentially about the stent. The stent removal device includes a tube positioned within the lumen proximate to the stent, wherein the tube is capable of receiving at least a portion of the stent. The stent removal device also includes a pusher positioned within the tube capable of engaging the stent and/or the element. The stent removal device further includes a hook positioned within the tube and including a hook member capable of engaging the element such that force applied to the hook causes the stent to purse string.