Tests to screen for “silent” neck artery narrowing in a bid to curb the risk of a stroke result in many unnecessary and costly surgical procedures, and ultimately save very few lives, concludes an editorial in the Journal of NeuroInterventional Surgery. In 2-6% of European men aged 60 plus, the major arteries supplying the brain (carotid arteries) are narrowed by 50-99%. This condition, termed carotid stenosis or atherosclerosis, accounts for 10-15% of strokes (data not in paper).