The CARDia (Coronary Artery Revascularization in Diabetes) trial is the first randomized trial of coronary revascularization in diabetic patients, but the 1-year results did not show that PCI is noninferior to CABG. However, the CARDia trial did show that multivessel PCI is feasible in patients with diabetes, but longer-term follow-up and data from other trials will be needed to provide a more precise comparison of the efficacy of these 2 revascularization strategies. (The Coronary Artery Revascularisation in Diabetes trial; ISRCTN19872154).

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A procedure for generating curved meshes, suitable for high-order finite element analysis, is described. The strategy adopted is based upon curving a generated initial mesh with planar edges and faces by using a linear elasticity analogy. The analogy employs boundary loads that ensure that nodes representing curved boundaries lie on the true surface. Several examples, in both two and three dimensions, illustrate the performance of the proposed approach, with the quality of the generated meshes being analysed in terms of a distortion measure. The examples chosen involve geometries of particular interest to the computational fluid dynamics community, including anisotropic meshes for complex three dimensional configurations.

Longitudinal stent deformation can occur secondary to a variety of mechanisms and identification is important as, left untreated, it may be associated with a risk of stent thrombosis. Although seen with several different stents, in our series it was more commonly observed with the Promus Element stent.

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A cell vertex finite volume method for the solution of steady compressible turbulent flow problems on unstructured hybrid meshes of tetrahedra, prisms, pyramids and hexahedra is described. These hybrid meshes are constructed by firstly discretising the computational domain using tetrahedral elements and then by merging certain tetrahedra. A one equation turbulence model is employed and the solution of the steady flow equations is obtained by explicit relaxation. The solution process is accelerated by the addition of a multigrid method, in which the coarse meshes are generated by agglomeration, and by parallelisation. The approach is shown to be effective for the simulation of a number of 3D flows of current practical interest.

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