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The eCoustics podcast has made it to our 100th episode! Let's rewind and check in with our top contributors and editors to recap the highlights - and lowlights? - in the HiFi and home theater industry over these past four years.Huge thank you to all of our subscribers, listeners, collaborators, friends, and sponsors for helping to keep us going!Special thank you to SVS & Q Acoustics for being such longstanding supporters of our podcast messaging. www.svsound.comwww.qacoustics.comCredits:• Original intro music by The Arc of All. https://sourceoflightandpower.bandcamp.com• Voice Over Provided by Todd Harrell of SSP Unlimited. https://sspunlimited.com• Production by Mitch Anderson, Black Circle Studios. https://blackcircleradio.comDon't forget to check our website for daily updates on the latest electronics, news, recommendations, and deals on high-end audio, loudspeakers, earphones, TVs, and more.www.ecoustics.com#100thepisode #podcastmilestone #audiophile #hifi #hiresaudio #musicindustrynews #ecoustics #hifinews #homeentertainmenttech #tvreviews #vintageaudio #vinylcommunity
This week, we're diving into SVS's thrilling new production of The Tempest—a fantastical reimagining where Shakespeare meets Dungeons & Dragons.We share our thoughts on the show's creative world-building, standout performances, and how this magical island adventure gets a tabletop twist. Plus, we sit down with director Drew Benjamin Jones to talk about his bold DND-inspired vision, turning Prospero into a dungeon master, and how the cast embraced this imaginative approach to storytelling.
How can I learn to let go of bad art? Why isn't my style selling? Does drawing ever get easier? Jake Parker, Sam Cotterill, and Lee White discuss these topics and more. 3 Point Perspective Podcast is sponsored by SVSLearn.com, the place where becoming a great illustrator starts!Click here for this episode's links and show notes.
Home Theater News Review Podcast Season 3, Episode 10 links and notes:Join our home theater community at AVNirvana.com. Build relationships with other Home Theater Enthusiasts and talk shop about speakers, processors, projectors, TVs, and more. We look forward to having you join our community!00:01 Intro01:23 Show Sponsor: madVR Labs02:13 Show Sponsor: SVS02:59 Time Machine Segment: First Streaming Movie05:48 Klipsch Giveaway Announcement07:38 Begin Lightning News: Sony Projectors Now Selling EU/UK08:32 Netflix Tudum Announcement - Stranger Things 509:39 Dirac, Denon Home Amp Marantz M110:24 Skullcandy Aviator 900 ANC 11:31 AVPro Acquires RTI13:30 Samsung OLED Sales14:19 Ascendo Elephant Conservation, Infrasonic Bass15:38 Harman Sues Klipsch, Party Speaker, Gig XXL18:21 Check in with Michael Scott, AV Nirvana Disc Reviews20:09 New to Disc this Week21:11 Kaleidescape Content Update22:20 What's Hot and What's Cold25:57 Disc and Gear DealsThis episode is sponsored by SVS: Visit them SVSound.comThis episode is also sponsored by madVR Labs: Visit them at https://madvrenvy.com/Enter Klipsch/Jurassic World Rebirth Giveaway: https://www.avnirvana.com/threads/klipsch-unveils-jurassic-world-sweepstakes-featuring-limited-edition-speakers-you-can-enter-and-win.15187/Strata-gee.com article about JBL and Klipsch: https://www.strata-gee.com/harman-hits-voxx-intl-klipsch-group-with-major-13-count-lawsuit/*DISC DEALS* 2 for $16 Blu-ray and 2 for $22 4K Disc - www.gruv.com*Gear Deal of the Week*Apple AirPods Pro 2 (Amazon): https://amzn.to/43HgdRWApple AirPods Pro 2 (Best Buy): https://fave.co/4dXKLSJ*Forum Links*-For the latest disc reviews, go to: https://www.avnirvana.com/forums/blu-ray-media-reviews.12/-For the latest news, including stories covered in this episode:https://www.avnirvana.com/forums/av-industry-news.6/*PODCAST LINKS*-Subscribe to the podcast on Spotify: https://open.spotify.com/show/2XZc1WVL7gGazxGLiURw0ESubscribe to the podcast on Apple: https://podcasts.apple.com/us/podcast/av-nirvanas-home-theater-news-review-htnr/id1715862636On this episode of HTNR, we have big stories to dig through from the likes of Sony, Denon, Marantz, Netflix, Skullcandy, AVPro, Hisense, Samsung, Harman, and Ascendo. We also discuss a notable lawsuit between two big players in the industry – Harman/JBL and Voxx/Klipsch – and I'll tell you how you can win a pair of limited edition Klipsch The Sevens powered speakers.We talk disc news - checkout what Michael Scott has been up to in the world of disc reviews… and if you're a collector, I've got a lead on a disc sale at GRUV.Please Note: AV Nirvana may make a small commission from affiliate links... thanks for your support!Keywords: iOS 18.5, energy, PS5, XBOX news, Disney Plus, Game of Thrones, Starlink, Black Mirror, Disney Movies, home theater tv, home cinema tv, home audio, surround sound, home theater, surround sound system, home theater system, home theater seat, home sound system, home audio systems, best tv soundbars, surround system for home, home cinemas, inflatable cinema screen, best surround sound system, best projector for home theater, best home cinema projector, good surround sound system, wireless surround sound, bose home theater system, home projector, wireless surround sound system, bose home theater, home cinema projector, bose home cinema, home theater news, SVS Ultra Evolution, SVS 4000 series subwoofers, madVR Envy Core, madVR Envy Extreme, HDR tone mapping, Kaleidescape 4K player, Dolby Vision home theater, DTS:X support, Dirac Live ART, Dirac Active Room Treatment, Denon Dirac upgrade, Marantz AV 20, Marantz AMP 20, HDMI 2.1 receiver, Trinnov headquarters, THX home audio, Apple TV Dolby Atmos sync, Dune Prophecy 4K, A Knight's Tale Dolby Atmos, Bass Hunters Trinnov, best war movies Blu-ray, JVC NZ9 projector deal, JVC Frame Adapt HDR, AV Nirvana podcast, multi channel home theatre, bose surround sound system,
We welcome singing voice specialist (SVS) Dr. Nick Klein to the podcast, as he discusses the SVS's role in vocal injury recovery. Dr. Klein and Dr. Bryson also emphasize the importance of multidisciplinary collaboration between medical professionals, speech-language pathologists, and voice teachers to ensure optimal outcomes for this unique patient population.
Is it possible to run an online shop without burning out? Jake Parker, Lee White, and Anthony Wheeler teach how to make your shop work for you (rather than becoming a slave to it). 3 Point Perspective Podcast is sponsored by SVSLearn.com, the place where becoming a great illustrator starts!Click here for this episode's links and show notes.
In this episode, Audible Bleeding Editors Sasank Kalipatnapu (@ksasank), Falen Demsas sit down with Dr. Rabih Chaer (@rchaer2), Dr. Michael Conte(@MichaelSConteMD), Dr. Sherene Shalhub and Dr. Malachi Sheahan III, the four SVS secretary candidates for this year to learn more about them as part of the ongoing election process. Show links: SVS 2025 Meet the Secretary Candidates—Home Page—provides a comprehensive overview of all the candidates. Their professional biographies and answers to questions about their plans for the future are available in both text and video formats. Show Guests: Dr. Rabih Chaer, Professor of Surgery and Chief of the Division of Vascular Surgery at Stony Brook University Dr. Michael Conte, Professor and Chief of the Division of Vascular & Endovascular Surgery at the University of California, San Francisco. Dr. Sherene Shalhub, Professor and Chief of the Division Vascular and Endovascular Surgery at Oregon Health & Science University (OHSU). Dr. Malachi Sheahan, Professor and Chair of the Division of Vascular and Endovascular Surgery at Louisiana State University Health Sciences Center in New Orleans. Sasank Kalipatnapu - PGY4 general surgery resident, University of Massachusetts Falen Demsas- PGY 3 integrated vascular surgery resident, Massachusetts General Hospital Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.
How important are starred reviews to the life of your children's book? Jake Parker, Lee White, and Samantha Cotterill explain what they are and whether or not you need them to succeed. 3 Point Perspective Podcast is sponsored by SVSLearn.com, the place where becoming a great illustrator starts!Click here for this episode's links and show notes.
Home Theater News Review Podcast Season 3, Episode 9 links and notes:Join our home theater community at AVNirvana.com. Build relationships with other Home Theater Enthusiasts and talk shop about speakers, processors, projectors, TVs, and more. We look forward to having you join our community!00:01 Intro01:31 Show Sponsor: SVS02:31 Show Sponsor: madVR Labs03:40 Time Machine Segment: First Streaming Movie05:48 Begin Lightning News Round06:51 IMAX, Christopher Nolan, Matt Damon Odyssey08:12 Kaleidescape Strato E09:29 Dirac, Denon, Marantz, Active Room Treatment ART11:04 Trinnov Audio Paris Headquarters Update11:53 JBL Summit Series Speakers12:57 Mark Levinson 600 Series14:00 Apple TV 4K Atmos Fix OS 18.517:12 Headline News Story: Marantz AV 20, AMP 2019:32 Check in with Michael Scott, AV Nirvana Disc Reviews20:54 New to Disc this Week21:50 Kaleidescape Content Update23:33 What's Hot and What's Cold25:32 Disc and Gear DealsSVS 5% Codes: Two or more subs: "GoDual," or buy 5+ speakers and/or subs: "System"This episode of HTNR is sponsored by SVS: Visit them at: https://fave.co/4bCbL9rThis episode is also sponsored by madVR Labs: Visit them at https://madvrenvy.com/*DISC DEALS on AMAZON* -Kelly's Heros and Where Eagles Dare (BD): https://amzn.to/4mna70p-The Dirty Dozen (BD): https://amzn.to/3SMYl1y-Guns of Navarone (BD):https://amzn.to/4dyKk1g*Gear Deal of the Week*JVC DLA-NZ9 (Best Buy): https://fave.co/45mKtCB*TopTes TS-501B SPL Meter Giveaway Link*https://www.avnirvana.com/threads/win-a-toptes-ts-501b-handheld-sound-level-meter.15047/*Forum Links*-For the latest disc reviews, go to: https://www.avnirvana.com/forums/blu-ray-media-reviews.12/-For the latest news, including stories covered in this episode:https://www.avnirvana.com/forums/av-industry-news.6/*PODCAST LINKS*-Subscribe to the podcast on Spotify: https://open.spotify.com/show/2XZc1WVL7gGazxGLiURw0ESubscribe to the podcast on Apple: https://podcasts.apple.com/us/podcast/av-nirvanas-home-theater-news-review-htnr/id1715862636On this episode of HTNR, we have stories from the likes of JBL, IMAX, Mark Levinson, Trinnov, Dirac, Kaleidescape, and Denon. And our feature story spotlights two new gorgeous separates from Marantz and an update on tariff-related pricing from their camp… which is interesting because we haven't heard much from big manufacturers on that front. We also take a look at disc news and pay a visit to what's hot and what's not in the world of content. Plus disc and gear deals of the week!Please Note: AV Nirvana may make a small commission from affiliate links... thanks for your support!Keywords: iOS 18.5, energy, PS5, XBOX news, Disney Plus, Game of Thrones, Starlink, Black Mirror, Disney Movies, home theater tv, home cinema tv, home audio, surround sound, home theater, surround sound system, home theater system, home theater seat, home sound system, home audio systems, best tv soundbars, surround system for home, home cinemas, inflatable cinema screen, best surround sound system, best projector for home theater, best home cinema projector, good surround sound system, wireless surround sound, bose home theater system, home projector, wireless surround sound system, bose home theater, home cinema projector, bose home cinema, home theater news, SVS Ultra Evolution, SVS 4000 series subwoofers, madVR Envy Core, madVR Envy Extreme, HDR tone mapping, IMAX The Odyssey, Nolan IMAX film, Kaleidescape Strato E, Kaleidescape 4K player, Dolby Vision home theater, DTS:X support, Dirac Live ART, Dirac Active Room Treatment, Denon Dirac upgrade, SHARC+ DSP, Mark Levinson 600 Series, JBL Summit Series, JBL Makalu speaker, JBL Pumori speaker, JBL Ama standmount, Trinnov headquarters, THX home audio, Apple TV Dolby Atmos sync, Dune Prophecy 4K, A Knight's Tale Dolby Atmos, Bass Hunters Trinnov, best war movies Blu-ray, JVC NZ9 projector deal, JVC Frame Adapt HDR, AV Nirvana podcast, multi channel home theatre
It's the end of an era: Will Terry is retiring from SVSLearn. Join Jake Parker and Lee White to learn what he's been working on and the lessons he's learned along the way. 3 Point Perspective Podcast is sponsored by SVSLearn.com, the place where becoming a great illustrator starts!Click here for this episode's links and show notes.
In this episode, Audible Bleeding Editors Sasank Kalipatnapu (@ksasank), Richa Kalsi (@KalsiMD) sit down with Dr. Andres Schanzer and Dr. William Shutze, the two SVS vice presidential candidates for this year to learn more about them as part of the ongoing election process. Show links: SVS 2025 Meet the VP Candidates provides a comprehensive overview of all the candidates. Their professional biographies and answers to questions about their plans for the future are available in both text and video formats. Show Guests: Dr. Andres Schanzer, Professor and Chief in the Division of Vascular and Endovascular Surgery, UMass Medical School, Worcester, MA Dr. William P Shutze, Texas Vascular Associates, Plano TX Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.
Qobuz, the leading audiophile-quality music streaming service, just got even better with the introduction of Qobuz Connect. Now subscribers can play their favorite lossless and high resolution audio tracks and albums directly from the cloud to their playback gear of choice, bypassing the phone, PC or tablet for elevated performance, improved functionality and even better sound quality.We chat with Qobuz VP of business development and Hi-Res Music Evangelist David Solomon on where Qobuz came from, what its mission is and where it's going in 2025 and beyond. Note: eCoustics readers, listeners and viewers can get an exclusive 60-Day extended trial of the Qobuz streaming service here: http://qob.uz/ecousticsSpecial offer expires June 14, 2025Thank you to our sponsors SVS & Qacoustics! For more information please visit:www.svsound.comwww.qacoustics.comPanel:David Solomon, Qobuz V.P of Business DevelopmentMitch Anderson, Host & eCoustics Podcast ProducerChris Boylan, Co-Host & eCoustics Editor-at-LargeCredits:• Original intro music by The Arc of All. https://sourceoflightandpower.bandcamp.com• Voice Over Provided by Todd Harrell of SSP Unlimited. https://sspunlimited.com• Production by Mitch Anderson, Black Circle Studios. https://blackcircleradio.comKeep up-to-date with all the latest Hi-Fi, Headphone, Home Theater and Music news by visiting:https://www.ecoustics.com#qobuz #qobuzconnect #audiophile #hifi #hiresaudio #hiresstreaming #dac #musicindustrynews #highendmunich #streamingservices #musicstreamers #heos #ecoustics #hifinews
Is your artistic voice discovered or created? Jake Parker, Lee White, and Anthony Wheeler share how to unlock a style that feels uniquely you.Sign up for Lee White's watercolor workshop in Spain 3 Point Perspective Podcast is sponsored by SVSLearn.com, the place where becoming a great illustrator starts!Click here for this episode's links and show notes.
Is AI driving illustrators to extinction? Jake Parker, David Hohn, and Samantha Cotterill explore the nuances of launching your art career amid modern technology. 3 Point Perspective Podcast is sponsored by SVSLearn.com, the place where becoming a great illustrator starts!Click here for this episode's links and show notes.
Caleb Denison, formerly of Digital Trends, joins eCoustics Editor at Large, Chris Boylan and eCoustics Founder, Brian Mitchell to discuss the best 2025 televisions. In addition, Caleb shares his thoughts on the state of the 2025 TV market and the latest flagship TVs from Sony, Samsung, LG, Panasonic, TCL and Hisense, along with buying advice when shopping for a new OLED or Mini LED TV this year.Caleb also discusses the launch of his new YouTube channel called CalebRated. But after recording this episode, Digital Trends has claimed ownership of Caleb's new channel forcing YouTube to take down his videos. For the latest information on this issue visit:https://www.ecoustics.com/news/calebrated-banned-from-youtube/Caleb now has a GoFundMe to help defray his legal expenses. You can find that here: https://gofund.me/3dbb9fdaOn the panel:Brian Mitchell, eCoustics Founder & CEOChris Boylan, eCoustics Editor at LargeCaleb Denison, CalebRatedThank you to our sponsors SVS and Qacoustics!www.svsound.comwww.qacoustics.comCredits:• Original intro music by The Arc of All. sourceoflightandpower.bandcamp.com• Voice Over Provided by Todd Harrell of SSP Unlimited. https://sspunlimited.com• Production by Mitch Anderson, Black Circle Studios. https://blackcircleradio.comKeep up-to-date with all the latest Hi-Fi, Headphone, Home Theater and Music news by visiting:https://www.ecoustics.com#hifi #ecoustics #audiophile #highendaudio #breakingthesoundbarrier #vinylcommunity #streamingnews #youtubenews #channeltakedown #calebrated #digitaltrends #musicindustrynews #broadcastmedianews
How can I know if my project will succeed (before I dedicate my life to it)? Can I start painting yet? Is social media still worth the effort? Jake Parker and Lee White offer insights on these questions (plus a behind-the-scenes glimpse of their current projects). 3 Point Perspective Podcast is sponsored by SVSLearn.com, the place where becoming a great illustrator starts!Click here for this episode's links and show notes.
Episode Summary: On the latest edition of HTNR, we've got a packed show full of spicy industry news to dig into — including headlines from Netflix, Samsung, JVC, Kaleidescape, JBL, and a potentially game-changing tech announcement out of China. Plus, we pull back the curtain with a bona fide insider who explains why most AVRs and processors with HDMI 2.1 top out at 40 Gbps — well short of the full spec.We've also have a full rundown of key industry news stories, disc talk (including a 4K concert review by Bob Rapport). some cool leads you'll want to check out, and a deep dive into the moment that launched commercial movie theaters as we know them.This episode of HTNR is sponsored by SVS: Visit them at: https://fave.co/4bCbL9rThis episode is also sponsored by madVR Labs: Visit them at https://madvrenvy.com/Join our home theater community at AVNirvana.com. Build relationships with other Home Theater Enthusiasts and talk shop about speakers, processors, projectors, TVs, and more. We look forward to having you join our community!*DISC DEALS on AMAZON* -Skyscraper BD - $6.49 https://amzn.to/3GirezQ-San Andreas BD - $9.69 https://amzn.to/3GkLgto-Rampage BD - $699 https://amzn.to/42UApz9*Gear Deal of the Week*- THX HDMI Interconnects by Pixelgen 15% off: https://www.pixelgendesign.com/home00:01 Intro01:10 Show Sponsor: madVR01:53 Show Sponsor: SVS03:24 Time Machine Segment: April 14, 189405:38 First copyrighted film06:16 Begin Lightning News Round: JBL SDP-80 Processor08:00 Samsung QD-OLED S95F, The Frame Pro09:11 Netflix, HDR10+, Samsung, Philips10:20 Kaleidescape, Australia, kOS upgrade12:21 JVC NZ500, NZ70014:05 Magentar, Oasys Residential Technology Group14:13 End Lighting Round: Passing of Han Jong Hee15:14 Headline News Story: HDMI/GPMI22:11 Check in with Michael Scott Disc Reviews23:19 New to Disc this Week24:54 Kaleidescape Content Update25:54 Disc Sales Numbers26:40 Disc Charts28:03 Movie/TV Stream Charts28:41 Disc and Gear Deals*Forum Links*-For the latest disc reviews, go to: https://www.avnirvana.com/forums/blu-ray-media-reviews.12/-For the latest news, including stories covered in this episode:https://www.avnirvana.com/forums/av-industry-news.6/*PODCAST LINKS*-Subscribe to the podcast on Spotify: https://open.spotify.com/show/2XZc1WVL7gGazxGLiURw0ESubscribe to the podcast on Apple: https://podcasts.apple.com/us/podcast/av-nirvanas-home-theater-news-review-htnr/id1715862636Keywords: home theater HDR Dolby Vision HDR10+ SVS subwoofer madVR Envy Kaleidescape Strato AVR HDMI HDMI 2.1 48Gbps HDMI JVC projector NZ700 projector NZ500 projector INXS Live Baby Live 4K Blu-ray Tombstone 4K Bob Rapoport Kinetoscope Edison film Fred Ott sneeze Samsung S95F QD-OLED TV Netflix HDR10+ Magnetar UDP800 Magnetar UDP9000 THX HDMI cable Pixelgen HDMI SVS PB5000 SVS SB5000 Ultra Evolution speakers Criterion Collection Jean de Florette Manon of the Spring Sneakers 4K The Hunt 4K Shout Factory Kino Lorber Strato M player Terra Prime server madvrenvy S95F review Samsung Frame Pro 8K Association DisplayPort 2.1 GPMI connector Hisense GPMI Skyworth GPMI Trinnov EQ JBL SDP-80 Roon Ready processor Auro 3D support DTS X Pro Dolby Atmos AVR Apple TV 4K Blu-ray deal Disc reviews HDMI cable test SVSound Pixelgen sale THX certified HDMI subwoofer review home cinema gear projector deal media room setup streaming vs disc HDMI 2.2 GPMI vs HDMI audiophile system JVC laser projector BLU-Escent engine home cinema setup HTNR podcast AV Nirvana forum 4K disc release audio calibration speaker deal 4K HDR concert best subwoofer 2025 HDR calibration video wall processor HDMI 40Gbps UHD disc sale Dolby Vision 4K HDR tone mapping audio review SDP-80 processor SVS speaker review AV forum news Kaleidescape firmware audio gear deals Apple Podcasts HTNR Spotify podcast AV YouTube home theater movie history trivia
Are you ready to fully commit to your craft? David Hohn, Anthony Wheeler, and Lee White discuss overcoming art block, the risks of art careers, and how to know when you're ready to go big. 3 Point Perspective Podcast is sponsored by SVSLearn.com, the place where becoming a great illustrator starts!Click here for this episode's links and show notes.
Send us a textWhat actually happens in a top-tier vocal coach's studio? What is "crack sob" and why is it so common in Broadway belting? What's the deal with voice rehab?In this episode of This Is A Voice, Gillyanne and Jeremy are joined once again by Mike Ruckles - Broadway vocal coach and Singing Voice Specialist - to explore the fine line between SLPs (SLTs in the UK), ENTs and voice teachers in voice rehabilitation.From navigating professional boundaries in vocal rehab to decoding the latest Journal of Voice research on "register instability", we're chatting about the world of high-level voice care.Whether you're a singing teacher, voice professional, or just obsessed with vocal health and performance, this one's a must-watch.00:00 Vocal health for singers on Broadway02:12 Singing voice rehab when not an SLP/SLT06:00 Jeremy's word of caution on vocal rehab08:45 The role of an SVS (singing voice specialist)09:33 Gillyanne's story of the singer's diagnosis12:12 Teaching MT role vs tour gig15:19 Can we talk about key?17:53 Researching the crack/sob22:16 The process of research
Nintendo Switch 2 pre-orders were delayed in Canada shortly after we finished recording last week. PS5 gets a price increase in Europe. SVS has a new 5000 R|Evolution Series of subs to replace the 4000 Series. And Chinese companies have banded together to support a new GPMI standard to rival HDMI and DisplayPort. Pictures shown […] The post AV Rant #963: Because of Audiophiles appeared first on AV Rant.
What makes a good hobby, and do you need one? Should you worry about sharing your ideas too soon? And what if someone copies your project? Jake Parker, Sam Cotterill, and David Hohn debate these questions and offer their wisdom. 3 Point Perspective Podcast is sponsored by SVSLearn.com, the place where becoming a great illustrator starts!Click here for this episode's links and show notes.
On this week's show look at five trends that are shaping home theaters in 2025 and we look at what will drive home automation into the next decade. Pulse we read your emails and take a look at the week's news. News: Kaleidescape Introduces the New Strato M Movie Player Police shut down Minecraft movie screening after audience trashes theater SVS 5000 R|Evolution Series Subwoofer Other: When Google Assistant is phased out, what happens to our smart speakers? Here are Five Trends Shaping Home Theater Experiences in 2025: 1. Immersive Audio Systems: Dolby Atmos and DTS:X continue to dominate, with more homes adopting multi-dimensional sound setups. Ceiling speakers and soundbars with upward-firing drivers are increasingly popular, creating a cinema-like audio bubble. 2. 8K Resolution Adoption: While 4K remains standard, 8K TVs and projectors are gaining traction as prices drop and content becomes more available. Upscaling tech also enhances older media, making the jump to 8K more appealing. 3. Smart Integration: Home theaters are syncing up with smart home ecosystems—think voice-controlled lighting, motorized screens, and AI-driven content recommendations. Systems like Google Home or Alexa are seamlessly tied to AV receivers and streaming devices. 4. Modular and Compact Designs: Space-saving solutions are on the rise. All-in-one projectors with built-in streaming, or modular furniture with hidden speakers, cater to smaller living spaces without sacrificing quality. 5. Gaming-Centric Features: With next-gen consoles and PCs pushing boundaries, low-latency displays (120Hz+ refresh rates) and variable refresh rate (VRR) support are must-haves. Home theaters are doubling as gaming hubs, blending entertainment modes. Will AI Drive Home Automation into the Next Decade? One of the biggest advancements in home automation technology in recent years is the integration of artificial intelligence (AI) and machine learning into smart home systems. This has taken home automation beyond simple remote control and scheduling to a level where devices can learn from user habits, adapt to preferences, and make intelligent decisions autonomously. Those who are fans of AI point to smart thermostats like the Nest or Ecobee and claim that these devices don't just follow a preset schedule anymore—they analyze your temperature preferences, daily routines, and even local weather patterns to optimize heating and cooling. Over time, they adjust themselves to save energy while keeping you comfortable, often without any manual input. But this isn't really asking Ai to do much. Once you set a thermostat with your preferences it just needs to determine whether you are home or away and go into the appropriate mode. There is nothing revolutionary or even AI about it. However, AI-powered hubs like Amazon's Alexa, Google Home, or Apple's HomeKit have gotten smarter with natural language processing and interoperability. They c an now coordinate multiple devices—lights, locks, cameras, appliances—through a single voice command or trigger complex routines based on contextual cues like, “I'm home” could unlock the door, turn on lights, and start the coffee maker. The latest advancements also include predictive behavior, where systems anticipate needs—like dimming lights when it's movie time or locking doors when you leave—based on historical data. What's making this possible is the combination of faster processors, cheaper sensors, and cloud computing, alongside AI models that can crunch data in real time. Add in 5G and Matter (the new universal smart home standard), and you've got faster, more reliable communication between devices, even across different brands. But a real game-changer is edge AI—processing data locally on devices rather than in the cloud. This boosts speed, privacy, and reliability, even if your internet drops. Picture a security camera that instantly recognizes a package delivery and unlocks the door for the courier, all without checking with the cloud first. So what do you think will drive home automation in the future?
Home Theater News Review Podcast Season 3, Episode 6 links and notes:Join our home theater community at AVNirvana.com. Build relationships with other Home Theater Enthusiasts and talk shop about speakers, processors, projectors, TVs, and more. We look forward to having you join our community!00:01 Intro00:53 Show Sponsor: SVS01:39 Show Sponsor: madVR03:07 Time Machine Segment: April 16, 197505:57 Forum Announcements07:50 Begin News Lightning Round: Just Video Walls HQ08:46 AVPro New Facility09:34 Just Video Walls Joins HTSA10:10 Magnetar Joins Home Technology Association11:26 AVPro STILE App12:10 Bullet Train Professional Series HDMI Cables12:45 Epson QS10014:13 Sony VPL-XW5100ES Bravia Projector 715:32 Sony OLED Bravia 8 Mark 2, Bravia 5 Mini-LED, Bravia 2 II16:58 Klipsch La Scala AL6, Klipschorn AK7, Heritage Active Crossover18:01 Spotlight News Feature: Kaleidescape Strato-M21:21 Spotlight News Feature: SVS SB-5000, PB-5000 5000 Series Subwoofers24:04 Check in with Michael Scott Disc Reviews24:58 New to Disc this Week26:12 Kaleidescape Content Update27:35 Disc Sales Numbers28:32 Disc Charts30:28 Movie/TV Stream Charts22:31 Disc and Gear DealsThis episode of HTNR is sponsored by SVS: Visit them at: https://fave.co/4bCbL9rThis episode is also sponsored by madVR Labs: Visit them at https://madvrenvy.com/Buy the New SVS 5000 Series Subwoofer!- SB-5000: https://fave.co/4iepSDx- PB-5000: https://fave.co/4jviXqF*DISC DEALS on AMAZON* -The Unbearable Weight of Massive Talent 4K: https://amzn.to/3RccHYK-Parasite 4K: https://amzn.to/3YrWP8j-Mission: Impossible 6-Movie Collection: https://amzn.to/4285aAt*Gear Deal of the Week*TX-SR494 7.2-Ch A/V Receiver: https://www.accessories4less.com/make-a-store/item/onktxsr494-rb/onkyo-tx-sr494-7.2-ch-x-80-watts-bluetooth-a/v-receiver/1.html#ONKTXSR494-RB-1Check out JustWatch.com's list of show recommendations here: https://www.justwatch.com/us/guide/shows-like-the-white-lotus*Forum Links*-For the latest disc reviews, go to: https://www.avnirvana.com/forums/blu-ray-media-reviews.12/-For the latest news, including stories covered in this episode:https://www.avnirvana.com/forums/av-industry-news.6/*PODCAST LINKS*-Subscribe to the podcast on Spotify: https://open.spotify.com/show/2XZc1WVL7gGazxGLiURw0ESubscribe to the podcast on Apple: https://podcasts.apple.com/us/podcast/av-nirvanas-home-theater-news-review-htnr/id1715862636On this week's edition of the Home Theater News Review Podcast, we have so much to cover, it's hard to know where to start. Lot's to dig through from the likes of Sony, Epson, Kaleidescape, SVS, Just Video Walls, AVPro, Klipsch and more! We're also blasting back in time with a trip to one of my favorite decades - 1970s - for a look at some tech that forever changed access to content in the home.Please Note: AV Nirvana may make a small commission from affiliate links... thanks for your support!
Can you make it as a comic artist in 2025? Is this a dying market? Shawn Crystal gives his take on the modern comic industry and shares his advice to anyone hoping to see their work in print. Join the conversation! 3 Point Perspective Podcast is sponsored by SVSLearn.com, the place where becoming a great illustrator starts!Click here for this episode's links and show notes.
How many ways can you monetize one illustration? Jake Parker, Lee White, and Will Terry teach how to make art that keeps on giving, plus how to popularize your IP and more! 3 Point Perspective Podcast is sponsored by SVSLearn.com, the place where becoming a great illustrator starts!Click here for this episode's links and show notes.
In the episode Nick Brown, SVS VP of Marketing speaks with eCoustics Podcast Producer, Mitch Anderson about various ways to get the best sound from your home audio setup. Whether you're buying your first hi-fi or approaching your endgame system, Nick offers up some surprising tips on subwoofer placement, system building, and even room acoustics. Before you spend another dime on audio gear, you'll want to hear where this conversation leads.Hosted by:Mitch Anderson, Producer Thank you to our sponsors Q Acoustics & SVS!https://www.qacoustics.comhttps://www.svsound.comCredits:• Original intro music by The Arc of All. https://www.sourceoflightandpower.com• Voice Over Provided by Todd Harrell of SSP Unlimited. https://sspunlimited.com• Production by Mitch Anderson, Black Circle Studios. https://blackcircleradio.comKeep up-to-date with all the latest Hi-Fi, Headphone, Home Theater and Music news by visiting:https://www.ecoustics.com#svsultraevolution #svsspeakers #svssubs #audiophile #hifihappyhour #hifi #2025speakers #hometheater #lifestylesound #interiordesign #speakerdesign #audioindustry #ecoustics #musictech #hifitips
The legendary James Gurney joins Jake Parker, Will Terry, and Lee White to talk about his life as an artist, from a train-hopping twenty-one-year-old to becoming one of the most iconic illustrators of our time. 3 Point Perspective Podcast is sponsored by SVSLearn.com, the place where becoming a great illustrator starts!Click here for this episode's links and show notes.
Home Theater News Review Podcast Season 3, Episode 5 links and notes:Join our home theater community at AVNirvana.com. Build relationships with other Home Theater Enthusiasts and talk shop about speakers, processors, projectors, TVs, and more. We look forward to having you join our community!00:01 Intro01:10 Show Sponsor: SVS02:28 Time Machine Segment05:56 Start News Lightning Round with Nvidia06:26 Begin News Lightning Round 07:43 New Roku Philips TV - Sams Club09:39 Chromecast Outtage, SOAX Search Trends11:02 The Southwest Audio Fest12:00 Warner Bros. DVD Disc Rot13:32 Rotel DX-314:18 Wilson Benesch and Fidelity Imports15:09 $370K Turntable15:50 New Sony 4K Player? X700/K17:03 FlatpanelsHD Report on Sony RGB LCD TV18:16 Premium Audio Company Distribution Deal NATM19:26 Spotlight News Feature: Arendal Sound, 1961 Speakers22:18 Check in with Michael Scott Disc Reviews22:24 New to Disc this Week24:36 Kaleidescape Content Update25:16 Disc Sales Numbers25:52 Disc Charts28:06 Movie/TV Stream Charts28:55 Disc and Gear DealsThis episode of HTNR is sponsored by SVS. Visit them at: https://fave.co/4bCbL9r*DISC DEALS on AMAZON* -Akira 4K -https://amzn.to/3RinErw-The Protege 4K - https://amzn.to/4bE1bif-Inglorious Basterds 4K - https://amzn.to/4i9Yash*Gear Deal of the Week*Samsung 55” S85D 4K OLED TV: https://fave.co/4iilT9PSamsung 65” S85D 4K OLED TV: https://fave.co/4iilT9PSamsung 65” S85D 4K OLED TV: https://fave.co/4iilT9P*Forum Links*-For the latest disc reviews, go to: https://www.avnirvana.com/forums/blu-ray-media-reviews.12/-For the latest news, including stories covered in this episode:https://www.avnirvana.com/forums/av-industry-news.6/*PODCAST LINKS*-Subscribe to the podcast on Spotify: https://open.spotify.com/show/2XZc1WVL7gGazxGLiURw0E-Subscribe to the podcast on Apple: https://podcasts.apple.com/us/podcast/av-nirvanas-home-theater-news-review-htnr/id1715862636On this week's edition of the Home Theater News Review Podcast, we're coming in hot and heavy with lots of industry news from the likes of madVR, Chromecast, Roku, Philips, The Southwest Audio Show, Premium Audio Company, Rotel, and a brand that has a turntable that costs just shy of the price of the average home in the United States. And our spotlight story focuses on a European speaker brand bringing back its entry-level range. Also, we have a lead on a 65” OLED TV that lands under a grand, just in time for March Madness!
Is it possible to make art with kids at home? Anthony Wheeler, Sam Cotterill, and Will Terry share how to balance parenting and creativity (without feeling guilty). 3 Point Perspective Podcast is sponsored by SVSLearn.com, the place where becoming a great illustrator starts!Click here for this episode's links and show notes.
Should I create my passion project even if it won't pay well? Lee White and Anthony Wheeler discuss how to select a project, prioritize tasks, and advance your career while keeping the love of art alive. 3 Point Perspective Podcast is sponsored by SVSLearn.com, the place where becoming a great illustrator starts!Click here for this episode's links and show notes.
This episode of HTNR is sponsored by SVS and madVR. Visit them at:SVS: www.svsound.com madVR: www.madvrenvy.com00:01 Intro02:35 Learn about this episode's Sponsors04:32 Time Machine Segment06:40 Start News Lightning Round, AudioEngine08:19 EPSON09:23 Alexa+10:23 TCL11:42 Philips Hue12:26 MadVR HDMI Sync 13:35 Masimo Update14:25 FEATURE: Focal 18:21 Check in with Michael Scott Disc Reviews19:30 New to Disc this Week20:35 Kaleidescape Content Update21:32 Disc Sales Numbers22:49 Disc Charts23:59 Movie/TV Stream Charts25:19 Disc and Gear Deals*DISC DEALS on AMAZON* -Civil War 4K -https://amzn.to/3QNggUZ-The Substance 4K - https://amzn.to/3QJBuTz-Mission Impossible 6 4K - https://amzn.to/41E5ExP*Gear Deal of the Week*CODE: EXTRA25OFF-Visit Denon Refurb at: https://fave.co/3XsOf8M-Buy Denon S670H: https://fave.co/41JlK9qWatch madVR ISE 2025 video: https://youtu.be/HsJjpYTgtKkComing up on this week's edition of the Home Theater News Review Podcast, we have a little bit of a light slate. But that's not to say there isn't some meat on the bone. We'll hit on stories out of TCL, Amazon, Epson, Philips, madVR and Sound United. And our featured story this week looks at some awesome new gear from the fine folks at Focal. Of course, we have our time machine segment, disc news, buying tips, and more.*Forum Links*-For the latest disc reviews, go to: https://www.avnirvana.com/forums/blu-ray-media-reviews.12/-For the latest news, including stories covered in this episode:https://www.avnirvana.com/forums/av-industry-news.6/*PODCAST LINKS*-Subscribe to the podcast on Spotify: https://open.spotify.com/show/2XZc1WVL7gGazxGLiURw0ESubscribe to the podcast on Apple: https://podcasts.apple.com/us/podcast/av-nirvanas-home-theater-news-review-htnr/id1715862636Please Note: AV Nirvana may make a small commission from affiliate links... thanks for your support!
Should I create my passion project even if it won't pay well? Lee White and Anthony Wheeler discuss how to select a project, prioritize tasks, and advance your career while keeping the love of art alive. 3 Point Perspective Podcast is sponsored by SVSLearn.com, the place where becoming a great illustrator starts!Click here for this episode's links and show notes.
Here's the Supporter-only Q&A from February 27th, 2025. All comments and questions are fielded through the supporter service Q&A page. Please consider supporting this channel via monthly support services, tips, or even just by using our affiliate links to purchase things you were already going to buy anyway, at no extra cost to you: https://www.retrorgb.com/support.htmlT-Shirts: https://retrorgb.link/tshirtsAmazon Recommended List: http://retrorgb.link/amazonTIMESTAMPS (please assume all links are affiliate / paid links that pay RetroRGB a commission on each sale. Even if links are currently not affiliate, I may update them with one, should a partner list that item for sale in the future):00:00 Welcome00:07 SCART sync resistor testing, dual SCART output02:34 Sync questions with SVS 08:57 Maybe booze instead of cough syrup isn't such a good idea after all?09:49 Cable connection issues16:06 Replacement PSU Thoughts: https://www.retrorgb.com/dreamcast-replacement-psu-design-analysed.html20:25 Thank you!: https://www.retrorgb.com/support.html
In this episode, learn how to prioritize quality over quick hits (even if it means slowing down). Jake Parker, Sam Cotterill, and Lee White give their tips for creating art you're proud to share. 3 Point Perspective Podcast is sponsored by SVSLearn.com, the place where becoming a great illustrator starts!Click here for this episode's links and show notes.
Hot on the heels of CES and NAMM, we asked YouTube's TechnoDad himself, Channa De Silva to chat with us about the cool audio/video gear and technology we've seen at the shows and will be coming to consumers this year. Topics include Dolby Atmos in cars, Google's new Eclipsa immersive audio format, new TV tech from Samsung, Hisense. LG, and TCL and so much more.More information can be found on TechnoDad via his YouTube Channel: https://www.youtube.com/c/TechnoDadMore on our eCoustics NAMM coverage can be found here: https://www.ecoustics.com/articles/best-namm-2025/Keep up with the latest audio and video news at https://www.ecoustics.comThank you to our sponsors SVS & Q Acoustics! For more information on these stellar brands, please click the links below: https://www.svsound.comhttps://www.qacoustics.comCredits:• Original intro music by The Arc of All. sourceoflightandpower.bandcamp.com• Voice Over Provided by Todd Harrell of SSP Unlimited. https://sspunlimited.com• Production by Mitch Anderson, Black Circle Studios. https://blackcircleradio.com#dolbyatmosheadphones #binauralsound #immersivesound #dolbyatmos #spatialaudio #virtuososoftware #aplaudio #aesnews #aes #audioengineers
While Apple Music, TIDAL and Amazon Music are all pushing spatial audio and immersive sound as the next big thing, the current reality is that, to get the best, most immersive effect, you need speakers: lots and lots of speakers. Of course, you *can* listen to immersive sound formats like Dolby Atmos and DTS:X on headphones, but the current processes to render a multi-channel recording into a 2-channel binaural signal, suitable for playback on headphones, leave room for improvement.APL (Advanced Psychoacoustics Lab) is dedicated to fixing this problem. The company's Virtuoso software can convert any 2-channel or multi-channel recording to a standard binaural headphone mix that maintains all the sonic cues of a real three-dimensional mix or space. Join eCoustics CEO Brian Mitchell on this episode of the eCoustics podcast as he chats with APL founder Professor Hyunkook Lee to discuss the current state of immersive sound over headphones and what can be done to make it better.Learn more at:https://apl-hud.com/Keep up with the latest audio and video news at https://www.ecoustics.comThank you to our sponsors SVS & Q Acoustics! For more information on these stellar brands, please click the links below: https://www.svsound.comhttps://www.qacoustics.comCredits:• Original intro music by The Arc of All. sourceoflightandpower.bandcamp.com• Voice Over Provided by Todd Harrell of SSP Unlimited. https://sspunlimited.com• Production by Mitch Anderson, Black Circle Studios. https://blackcircleradio.com#dolbyatmosheadphones #binauralsound #immersivesound #dolbyatmos #spatialaudio #virtuososoftware #aplaudio #aesnews #aes #audioengineers
Can your relationship survive your illustration career? Jake Parker, Will Terry, and Lee White share how they've maintained healthy partnerships on the wild ride of artistic entrepreneurship. Listen and learn! 3 Point Perspective Podcast is sponsored by SVSLearn.com, the place where becoming a great illustrator starts!Click here for this episode's links and show notes.
Here's the Supporter-only Q&A from January 30th, 2025. All comments and questions are fielded through the supporter service Q&A page. Please consider supporting this channel via monthly support services, tips, or even just by using our affiliate links to purchase things you were already going to buy anyway, at no extra cost to you: https://www.retrorgb.com/support.html T-Shirts: https://retrorgb.link/tshirts Amazon Recommended List: http://retrorgb.link/amazon TIMESTAMPS (please assume all links are affiliate / paid links that pay RetroRGB a commission on each sale. Even if links are currently not affiliate, I may update them with one, should a partner list that item for sale in the future): 00:00 Welcome 00:04 VHS Metalhead Moments / Genesis Audio Filtering 03:43 OSSC Auto-Detect Input: https://junkerhq.net/xrgb/index.php/OSSC#Autodetect_input 08:01 HD Retrovision Cables 09:47 HDMI to VGA CRT Monitor: https://amzn.to/44HsIu0 12:19 NES Lumacode & RF Board 17:35 Load Wii games off a network / Fix CRT glass 19:10 MiSTer output to PVM & OLED 22:15 SVS & two TINK's / HDMI Downscaler: https://www.retrorgb.com/hdmi-splitter-downscalers-reviewed.html 25:13 Tips for people making new products 30:00 Thank you!: https://www.retrorgb.com/support.html
What does Tom Cruise getting stuck in a time loop have to do with becoming a great artist? More than you'd expect! Learn how to iterate, how to avoid generic character designs (EVERYTHING has been done before, no exceptions!), and how you can supercharge your art skills with an online education for WAY cheaper than a traditional art school. Only on 3PP! 3 Point Perspective Podcast is sponsored by SVSLearn.com, the place where becoming a great illustrator starts!Click here for this episode's links and show notes.
Here's the Supporter-only Q&A from January 23rd, 2025. All comments and questions are fielded through the supporter service Q&A page. Please consider supporting this channel via monthly support services, tips, or even just by using our affiliate links to purchase things you were already going to buy anyway, at no extra cost to you: https://www.retrorgb.com/support.html T-Shirts: https://retrorgb.link/tshirts Amazon Recommended List: http://retrorgb.link/amazon TIMESTAMPS (please assume all links are affiliate / paid links that pay RetroRGB a commission on each sale. Even if links are currently not affiliate, I may update them with one, should a partner list that item for sale in the future): 00:00 Welcome 00:07 YPbPr Conversion to RGBHV for HD CRT 04:52 VHS Capture Questions / Thunderbolt 4K: https://www.retrorgb.com/live-gamer-bolt-review.html 08:48 SCART Cleaner question: https://www.retrorgb.com/scart-cleaner-v2-0-released.html 10:57 Recap games? 14:12 Cable shielding tests 17:34 Custom CRT Multicade: https://youtu.be/Scg4h2znm8I / https://youtu.be/rmassx9hJP8 / https://youtu.be/icRuUh8SIC0 / https://www.retrorgb.com/recalbox-jamma-raspberry-pi-adapter.html 21:47 OLED vs MiniLED 24:07 32x & JVC X'Eye 26:22 SVS: https://www.retrorgb.com/scalable-video-switch-available-this-saturday.html 29:49 SVS & PS2 SCART Cable: https://www.retrogamingcables.co.uk/sony-av-accessories/PlayStation-2-3-RGB-SCART-CABLES/SONY-PLAYSTATION-2-SYNC-ON-LUMA-RGB-SCART-CABLE-LIGHTGUN-PORT?tracking=5543fb4c077bb 33:53 Thank you!: https://www.retrorgb.com/support.html
Is the life of an illustrator all it's cracked up to be? Samantha Cotterill, Jake Parker, and Lee White compare what they anticipated to how their careers have shaken out. PATREONSign up for SVSLearn's 14 Day Trial: https://courses.svslearn.com/bundles/subscription3 Point Perspective Podcast is sponsored by SVSLearn.com, the place where becoming a great illustrator starts!Click here for this episode's links and shownotes.
In this best-of episode, discover our top tips on finding, firing, and working with agents, featuring Jake Parker, Lee White, Will Terry, Anthony Wheeler, and Samantha Cotterill. PATREONSign up for SVSLearn's 14 Day Trial: https://courses.svslearn.com/bundles/subscription3 Point Perspective Podcast is sponsored by SVSLearn.com, the place where becoming a great illustrator starts!Click here for this episode's links and shownotes.
Is it possible to be financially stable as an illustrator? How can I motivate myself to do work I don't enjoy? Sam Cotterill, Will Terry, and Anthony Wheeler share personal anecdotes and time-tested advice. PATREONSign up for SVSLearn's 14 Day Trial: https://courses.svslearn.com/bundles/subscription3 Point Perspective Podcast is sponsored by SVSLearn.com, the place where becoming a great illustrator starts!Click here for this episode's links and shownotes.
Guest: Dr. Christian de Virgilio is the Chair of the Department of Surgery at Harbor-UCLA Medical Center. He is also Co-Chair of the College of Applied Anatomy and a Professor of Surgery at UCLA's David Geffen School of Medicine. He completed his undergraduate degree in Biology at Loyola Marymount University and earned his medical degree from UCLA. He then completed his residency in General Surgery at UCLA-Harbor Medical Center followed by a fellowship in Vascular Surgery at the Mayo Clinic. Resources: Rutherford Chapters (10th ed.): 174, 175, 177, 178 Prior Holding Pressure episode on AV access creation: https://www.audiblebleeding.com/vsite-hd-access/ The Society for Vascular Surgery: Clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access: https://www.jvascsurg.org/article/S0741-5214%2808%2901399-2/fulltext KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update: https://pubmed.ncbi.nlm.nih.gov/32778223/ Outline: Steal Syndrome Definition & Etiology Steal syndrome is an important complication of AV access creation, since access creation diverts arterial blood flow from the hand. Steal can be caused by multiple factors—arterial occlusive disease proximal or distal to the AV anastomosis, high flow through the fistula at the expense of distal arterial perfusion, and failure of the distal arterial networks to adapt to this decreased blood flow. Incidence and Risk Factors The frequency of steal syndrome is 1.6-9%1,2, depending on the vessels and conduit choice Steal syndrome is more common with brachial and axillary artery-based accesses and nonautogenous conduits. Other risk factors for steal syndrome are peripheral vascular disease, coronary artery disease, diabetes, advanced age, female sex, larger outflow conduit, multiple prior permanent access procedures, and prior episodes of steal.3,4 Long-standing insulin-dependent diabetes causes both medial calcinosis and peripheral neuropathy, which limits arteries' ability to vasodilate and adjust to decreased blood flow. Patient Presentation, Symptoms, Grading Steal syndrome is diagnosed clinically. Symptoms after AVG creation occurs within the first few days, since flow in prosthetic grafts tend to reach a maximum value very early after creation. Native AVFs take time to mature and flow will slowly increase overtime, leading to more insidious onset of symptoms that can take months or years. The patient should have a unilateral complaint in the extremity with the AV access. Symptoms of steal syndrome, in order of increasing severity, include nail changes, occasional tingling, extremity coolness, numbness in fingertips and hands, muscle weakness, rest pain, sensory and motor deficits, fingertip ulcerations, and tissue loss. There could be a weakened radial pulse or weak Doppler signal on the affected side, and these will become stronger after compression of the AV outflow. Symptoms are graded on a scale specified by Society of Vascular Surgery (SVS) reporting standards:5 Workup Duplex ultrasound can be used to analyze flow volumes. A high flow volume (in autogenous accesses greater than 800 mL/min, in nonautogenous accesses greater than 1200 mL/min) signifies an outflow issue. The vein or graft is acting as a pressure sink and stealing blood from the distal artery. A low flow volume signifies an inflow issue, meaning that there is a proximal arterial lesion preventing blood from reaching the distal artery. Upper extremity angiogram can identify proximal arterial lesions. Prevention Create the AV access as distal as possible, in order to preserve arterial inflow to the hand and reduce the anastomosis size and outflow diameter. SVS guidelines recommend a 4-6mm arteriotomy diameter to balance the need for sufficient access flow with the risk of steal. If a graft is necessary, tapered prosthetic grafts are sometimes used in patients with steal risk factors, using the smaller end of the graft placed at the arterial anastomosis, although this has not yet been proven to reduce the incidence of steal. Indications for Treatment Intervention is recommended in lifestyle-limiting cases of Grade II and all Grade III steal cases. If left untreated, the natural history of steal syndrome can result in chronic limb ischemia, causing gangrene with loss of digits or limbs. Treatment Options Conservative management relies on observation and monitoring, as mild cases of steal syndrome may resolve spontaneously. Inflow stenosis can be treated with endovascular intervention (angioplasty with or without stent) Ligation is the simplest surgical treatment, and it results in loss of the AV access. This is preferred in patients with repetitive failed salvage attempts, venous hypertension, and poor prognoses. Flow limiting procedures can address high volumes through the AV access. Banding can be performed with surgical cutdown and placement of polypropylene sutures or a Dacron patch around the vein or graft. The Minimally Invasive Limited Ligation Endoluminal-Assisted Revision (MILLER) technique employs a percutaneous endoluminal balloon inflated at the AVF to ensure consistency in diameter while banding Plication is when a side-biting running stitch is used to narrow lumen of the vein near the anastomosis. A downside of flow-limiting procedures is that it is often difficult to determine how much to narrow the AV access, as these procedures carry a risk of outflow thrombosis. There are also surgical treatments focused on reroute arterial inflow. The distal revascularization and interval ligation (DRIL) procedure involves creation of a new bypass connecting arterial segments proximal and distal to the AV anastomosis, with ligation of the native artery between the AV anastomosis and the distal anastomosis of the bypass. Reversed saphenous vein with a diameter greater than 3mm is the preferred conduit. Arm vein or prosthetic grafts can be used if needed, but prosthetic material carries higher risk of thrombosis. The new arterial bypass creates a low resistance pathway that increases flow to distal arterial beds, and interval arterial ligation eliminates retrograde flow through the distal artery. The major risk of this procedure is bypass thrombosis, which results in loss of native arterial flow and hand ischemia. Other drawbacks of DRIL include procedural difficulty with smaller arterial anastomoses, sacrifice of saphenous or arm veins, and decreased fistula flow. Another possible revision surgery is revision using distal inflow (RUDI). This procedure involves ligation of the fistula at the anastomosis and use of a conduit to connect the outflow vein to a distal artery. The selected distal artery can be the proximal radial or ulnar artery, depending on the preoperative duplex. The more dominant vessel should be spared, allowing for distal arterial beds to have uninterrupted antegrade perfusion. The nondominant vessel is used as distal inflow for the AV access. RUDI increases access length and decreases access diameter, resulting in increased resistance and lower flow volume through the fistula. Unlike DRIL, RUDI preserves native arterial flow. Thrombosis of the conduit would put the fistula at risk, rather than the native artery. The last surgical revision procedure for steal is proximalization of arterial inflow (PAI). In this procedure, the vein is ligated distal to the original anastomosis site and flow is re-established through the fistula with a PTFE interposition graft anastomosed end-to-side with the more proximal axillary artery and end-to-end with the distal vein. Similar to RUDI, PAI increases the length and decreases the diameter of the outflow conduit. Since the axillary artery has a larger diameter than the brachial artery, there is a less significant pressure drop across the arterial anastomosis site and less steal. PAI allows for preservation of native artery's continuity and does not require vein harvest. Difficulties with PAI arise when deciding the length of the interposition graft to balance AV flow with distal arterial flow. 2. Ischemic Monomelic Neuropathy Definition Ischemic monomelic neuropathy (IMN) is a rare but serious form of steal that involves nerve ischemia. Severe sensorimotor dysfunction is experienced immediately after AV access creation. Etiology IMN affects blood flow to the nerves, but not the skin or muscles because peripheral nerve fibers are more vulnerable to ischemia. Incidence and Risk Factors IMN is very rare; it has an estimated incidence of 0.1-0.5% of AV access creations.6 IMN has only been reported in brachial artery-based accesses, since the brachial artery is the sole arterial inflow for distal arteries feeding all forearm nerves. IMN is associated with diabetes, peripheral vascular disease, and preexisting peripheral neuropathy that is associated with either of the conditions. Patient Presentation Symptoms usually present rapidly, within minutes to hours after AV access creation. The most common presenting symptom is severe, constant, and deep burning pain of the distal forearm and hand. Patients also report impairment of all sensation, weakness, and hand paralysis. Diagnosis of IMN can be delayed due to misattribution of symptoms to anesthetic blockade, postoperative pain, preexisting neuropathy, a heavily bandaged arm precluding neurologic examination. Treatment Treatment is immediate ligation of the AV access. Delay in treatment will quickly result in permanent sensorimotor loss. 3. Perigraft Seroma Definition A perigraft seroma is a sterile fluid collection surrounding a vascular prosthesis and is enclosed within a pseudomembrane. Etiology and Incidence Possible etiologies include: transudative movement of fluid through the graft material, serous fluid collection from traumatized connective tissues (especially the from higher adipose tissue content in the upper arm), inhibition of fibroblast growth with associated failure of the tissue to incorporate the graft, graft “wetting” or kinking during initial operation, increased flow rates, decreased hematocrit causing oncotic pressure difference, or allergy to graft material. Seromas most commonly form at anastomosis sites in the early postoperative period. Overall seroma incidence rates after AV graft placement range from 1.7–4% and are more common in grafts placed in the upper arm (compared to the forearm) and Dacron grafts (compared to PTFE grafts).7-9 Patient Presentation and Workup Physical exam can show a subcutaneous raised palpable fluid mass Seromas can be seen with ultrasound, but it is difficult to differentiate between the types of fluid around the graft (seroma vs. hematoma vs. abscess) Indications for Treatment Seromas can lead to wound dehiscence, pressure necrosis and erosion through skin, and loss of available puncture area for hemodialysis Persistent seromas can also serve as a nidus for infection. The Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines10 recommend a tailored approach to seroma management, with more aggressive surgical interventions being necessary for persistent, infected-appearing, or late-developing seromas. Treatment The majority of early postoperative seromas are self-limited and tend to resolve on their own Persistent seromas have been treated using a variety of methods-- incision and evacuation of seroma, complete excision and replacement of the entire graft, and primary bypass of the involved graft segment only. Graft replacement with new material and rerouting through a different tissue plane has a higher reported cure rate and lower rate of infection than aspiration alone.9 4. Infection Incidence and Etiology The reported incidence of infection ranges 4-20% in AVG, which is significantly higher than the rate of infection of 0.56-5% in AVF.11 Infection can occur at the time of access creation (earliest presentation), after cannulation for dialysis (later infection), or secondary to another infectious source. Infection can also further complicate a pre-existing access site issue such as infection of a hematoma, thrombosed pseudoaneurysm, or seroma. Skin flora from frequent dialysis cannulations result in common pathogens being Staphylococcus, Pseudomonas, or polymicrobial species. Staphylococcus and Pseudomonas are highly virulent and likely to cause anastomotic disruption. Patient Presentation and Workup Physical exam will reveal warmth, pain, swelling, erythema, induration, drainage, or pus. Occasionally, patients have nonspecific manifestations of fever or leukocytosis. Ultrasound can be used to screen for and determine the extent of graft involvement by the infection. Treatments In AV fistulas: Localized infection can usually be managed with broad spectrum antibiotics. If there are bleeding concerns or infection is seen near the anastomosis site, the fistula should be ligated and re-created in a clean field. In AV grafts: If infection is localized, partial graft excision is acceptable. Total graft excision is recommended if the infection is present throughout the entire graft, involves the anastomoses, occludes the access, or contains particularly virulent organisms Total graft excision may also be indicated if a patient develops recurrent bacteremia with no other infectious source identified. For graft excision, the venous end of the graft is removed and the vein is oversewn or ligated. If the arterial anastomosis is intact, a small cuff of the graft can be left behind and oversewn. If the arterial anastomosis is involved, the arterial wall must be debrided and ligation, reconstruction with autogenous patch angioplasty, or arterial bypass can be pursued. References 1. Morsy AH, Kulbaski M, Chen C, Isiklar H, Lumsden AB. Incidence and Characteristics of Patients with Hand Ischemia after a Hemodialysis Access Procedure. J Surg Res. 1998;74(1):8-10. doi:10.1006/jsre.1997.5206 2. Ballard JL, Bunt TJ, Malone JM. Major complications of angioaccess surgery. Am J Surg. 1992;164(3):229-232. doi:10.1016/S0002-9610(05)81076-1 3. Valentine RJ, Bouch CW, Scott DJ, et al. Do preoperative finger pressures predict early arterial steal in hemodialysis access patients? A prospective analysis. J Vasc Surg. 2002;36(2):351-356. doi:10.1067/mva.2002.125848 4. Malik J, Tuka V, Kasalova Z, et al. Understanding the Dialysis access Steal Syndrome. A Review of the Etiologies, Diagnosis, Prevention and Treatment Strategies. J Vasc Access. 2008;9(3):155-166. doi:10.1177/112972980800900301 5. Sidawy AN, Gray R, Besarab A, et al. Recommended standards for reports dealing with arteriovenous hemodialysis accesses. J Vasc Surg. 2002;35(3):603-610. doi:10.1067/mva.2002.122025 6. Thermann F, Kornhuber M. Ischemic Monomelic Neuropathy: A Rare but Important Complication after Hemodialysis Access Placement - a Review. J Vasc Access. 2011;12(2):113-119. doi:10.5301/JVA.2011.6365 7. Dauria DM, Dyk P, Garvin P. Incidence and Management of Seroma after Arteriovenous Graft Placement. J Am Coll Surg. 2006;203(4):506-511. doi:10.1016/j.jamcollsurg.2006.06.002 8. Gargiulo NJ, Veith FJ, Scher LA, Lipsitz EC, Suggs WD, Benros RM. Experience with covered stents for the management of hemodialysis polytetrafluoroethylene graft seromas. J Vasc Surg. 2008;48(1):216-217. doi:10.1016/j.jvs.2008.01.046 9. Blumenberg RM, Gelfand ML, Dale WA. Perigraft seromas complicating arterial grafts. Surgery. 1985;97(2):194-204. 10. Lok CE, Huber TS, Lee T, et al. KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update. Am J Kidney Dis. 2020;75(4):S1-S164. doi:10.1053/j.ajkd.2019.12.001 11. Padberg FT, Calligaro KD, Sidawy AN. Complications of arteriovenous hemodialysis access: Recognition and management. J Vasc Surg. 2008;48(5):S55-S80. doi:10.1016/j.jvs.2008.08.067
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