"Does this mean that patients who have a right ventricle leadless pacemaker for brachycardia or defibrillation, and then develop heart failure, need CRT by the left ventricle, but that left ventricle pacemakers with a lead cannot be used?"
Firstly, there are no RV leadless defibrillators.
Second, yes a patient who needs CRT and has an RV leadless pacemaker (eg. Micra) would need an upgrade to a BI-V device (with leads). This is a potential market for the Wise device.
General Investor Information EBR Systems, page-122
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