Hi drvanthorp,
... most cartesian plotters have rails, which are fixed only on one side, the other runs free on a roll, so the rail isn't stable enough to move the extruder without deformation ...
I found on both sides feeded rails (wire-moving) in old XY-writers and used this principle on a laserplotter-design, what worked very well - if you want a sketch, i can draw it ...
For a lightweight-toolhead, as a laserdiode or so, it would go anyway.
If you want to reuse the mechanics - the X-motor (for the rail) is mostly good enough, the Y-motor (pen) is in general to weak ...
Viktor