instruction: hello doctor my mom is a 92 years old with congestive heart failure it scan showed extensive atherosclerosis of the aorta probable high grade stenosis of the right common iliac artery and the bilateral common femoral artery she also has kidney disease in the left kidney and extreme fatigue for two years would she be a candidate for a stent or some other procedure to unblock the artery and could this condition be causing her fatigue none of her doctors can figure out the reason for fatigue please help
output: hello welcome to icliniq com this is a non contrast it computed tomography so it is not accurate in estimating the extent of stenosis she will need a contrast it angiography of abdominal vessels however the common iliac artery and femoral arteries are usually amenable to tenting unless it angiography shows diffuse disease whole of the artery is involved with no normal segment where tenting would be difficult however a disease involving these arteries is unlikely to cause generalized fatigue but it can cause pain or weakness in the lower limbs while walking regarding the cause for fatigue I guess the common causes like low hemoglobin be issues any medications deranged kidney function low vitamin deranged blood sugar are ruled out one important cause that should be ruled out in her is the cardiac cause because her it scan shows mild fluid in bilateral lungs which may be related to heart and also with such extensive aortic disease cardiac arteries are also expected to be involved cardiac disease may cause fatigue shortness of breath on exertion so she should undergo egg electrocardiography echo and also it angiography of heart vessels if possible along with it angiography of abdominal vessels also some routine tests like hemogram let liver function test rat renal function test vitamin thyearoid profile sugar lipid profile ear erythrocyte sedimentation rate and cop reactive protein should also be performed if not done recently I hope this helps