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More and more evidence shows that FCI can optimise ventricular haemodynamics, prevent ventricular dysplasia, promote the establishment of biventricular circulation, help alleviate or change the course of the disease, and can be used as a treatment method to save ventricular and great vessel development. This article reviews the history and current status, mechanism of action, surgical indications, and clinical outcomes of FCI for treating CHD in fetuses. It also analyses the development opportunities and challenges of FCI and proposes constructive suggestions for future research directions and improvement measures, with the aim of providing a reference basis for the in-depth development of this field.<\/jats:p>","DOI":"10.1017\/s1047951125109451","type":"journal-article","created":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T09:23:34Z","timestamp":1757928214000},"page":"1982-1988","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Role of fetal cardiac intervention for prenatal complex CHD"],"prefix":"10.1017","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1256-3981","authenticated-orcid":false,"given":"Zhangwei","family":"Wang","sequence":"first","affiliation":[{"name":"Fuwai Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Honghao","family":"Fu","sequence":"additional","affiliation":[{"name":"Fuwai 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