脉冲电场消融（PFA）患者教育视频：中文版本来源与署名 黄剑锋医生｜心脏科及心脏电生理专科医生 制作日期：2026年10月15日 语言：普通话旁白、简体中文字幕及画面标签 时长：2分54秒（174.125秒） 使用前请由临床医生审核 本片提供一般健康教育，不能替代个别诊疗建议、完整知情同意或治疗团队的指导。面向患者使用前，请核对当地器械适应证、医院流程及个别患者的风险。是否继续长期抗凝治疗，应由治疗团队结合中风风险决定，不能因为心律改善而自行停药。 本片以FARAPULSE／FARAWAVE的篮状、花瓣状导管为例，并非比较所有脉冲电场消融系统。关于较早考虑消融治疗的说明是一般治疗选择，不代表某一器械在所有地区均获批作为所有患者的一线治疗。 影像及制作说明 临床照片和手术室影像由黄剑锋医生提供。保留了英文版本中已经裁切的三张实物／手术照片，不使用原始手术室录音。照片避开了可识别患者身份的监视器页眉，不讲述任何患者个人信息。 旁白及用户提供的声音录音在本地处理，未上传至外部语音生成服务。英文版本保持独立，未被本中文版本覆盖。 心脏电活动对比和篮状／花瓣状导管过程属于原有原创说明动画。心电图仅作示意，并非患者记录或诊断图。左心房模型源自下述解剖图谱，并非拍摄患者的心脏重建。 导管外形、位置、治疗区域及血流标记经过简化，不按实际比例绘制，不用于教学具体导管放置技术或精确消融范围。淡色移动标记表示从肺静脉进入左心房的血流。 中文版本重新编排了文字与标签，并沿用原版动画和经裁切的临床影像。以下原始来源及BSD三条款许可继续随本视频一同提供。 Clinical sources National Heart, Lung, and Blood Institute: how the heart beats https://www.nhlbi.nih.gov/health/heart/heart-beats American Heart Association: atrial fibrillation https://www.heart.org/en/health-topics/atrial-fibrillation/understanding-afib-symptoms-treatment-and-living-well Boston Scientific: FARAPULSE indications, safety and warnings https://www.bostonscientific.com/en-US/products/catheters--ablation/farapulse/farapulse-indications.html Boston Scientific: FARAWAVE catheter (basket/flower example only) https://www.bostonscientific.com/us/en/healthcare-professionals/products/pulsed-field-ablation/farawave-pulsed-field-ablation-catheter/fp90000116.html Boston Scientific: FARAWAVE instructions for use (five splines, four electrodes per spline; basket and flower configurations) https://www.bostonscientific.com/content/dam/elabeling/ep/farawave/pulsed_fiel_ablation_catheter/farawave-nav_ifu-51967706/51967706-01A_FARAWAVE2-0-PERSAF_IFU_ML_s.pdf Boston Scientific: FARAPULSE patient brochure https://www.bostonscientific.com.au/content/dam/bostonscientific-anz/farapulse/FarapulsePatientBrochure.pdf 2024 ESC atrial-fibrillation guideline https://academic.oup.com/eurheartj/article/45/36/3314/7738779 2023 ACC/AHA/ACCP/HRS atrial-fibrillation guideline https://www.jacc.org/doi/10.1016/j.jacc.2023.08.017 Ekanem and colleagues: MANIFEST-17K safety study, Nature Medicine (2024) https://www.nature.com/articles/s41591-024-03114-3 Guy’s and St Thomas’ NHS Foundation Trust: after cardiac ablation https://www.guysandstthomas.nhs.uk/health-information/cardiac-ablation-irregular-heart-rhythm/after-having-cardiac-ablation Reference animation Boston Scientific Cardiology: FARAPULSE procedural animation, supplied by the user as a reference. The official transcript informed the conceptual basket/flower sequence. No source-video footage or frames were reused. https://www.youtube.com/watch?v=BjDfsH-kozo Anatomy attribution Left atrial atlas adapted from LAUSM, by Georgios Rovas and contributors: https://github.com/g-rov/lausm Source revision: 040ff44e205c5c1a4ca6e5c3b44f3370e2f84629 Mesh: atlas/affine_average_clipped_longpvs.vtk Adaptations: orientation, surface rendering, cutaway view, camera animation and illustrative treatment/flow overlays. No endorsement by the atlas authors is implied. Related publication: Adamopoulos D, Rovas G, Johner N, et al. Left atrial wall shear stress correlates with fibrosis in atrial fibrillation. Nature Cardiovascular Research (2025). https://doi.org/10.1038/s44161-025-00651-z The following license notice accompanies the adapted atlas material: BSD 3-Clause License Copyright (c) 2024, Georgios Rovas Redistribution and use in source and binary forms, with or without modification, are permitted provided that the following conditions are met: 1. Redistributions of source code must retain the above copyright notice, this list of conditions and the following disclaimer. 2. Redistributions in binary form must reproduce the above copyright notice, this list of conditions and the following disclaimer in the documentation and/or other materials provided with the distribution. 3. Neither the name of the copyright holder nor the names of its contributors may be used to endorse or promote products derived from this software without specific prior written permission. THIS SOFTWARE IS PROVIDED BY THE COPYRIGHT HOLDERS AND CONTRIBUTORS "AS IS" AND ANY EXPRESS OR IMPLIED WARRANTIES, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE ARE DISCLAIMED. IN NO EVENT SHALL THE COPYRIGHT HOLDER OR CONTRIBUTORS BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE, DATA, OR PROFITS; OR BUSINESS INTERRUPTION) HOWEVER CAUSED AND ON ANY THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT (INCLUDING NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE OF THIS SOFTWARE, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGE.