Dr Satish Kumar, Hony. Secretary, Cardiological Society of India, Jharkhand Chapter, Jt. Director and HOD (Cardiology), Bokaro General Hospital

Fixed angiography systems come in both floor- and ceiling-mounted configurations, which may be a deciding factor in some installations. When anybody begins searching for the best cath lab system, it is easy to get wrapped up in technical spec – software, detectors, generators, etc. All of these things are very important in capturing patient images, but as one considers them, one should not forget the other side of the cath lab experience – doctor and technician workflow.

One of the most important features affecting cath lab workflow is whether the fixed c-arm positioner is mounted on the floor or the ceiling.

Ceiling-mounted cath labs. Ceiling-mounted c-arms move on a suspended track above the cath lab table. The c-arm can be pushed clear of the table altogether. This configuration offers some additional flexibility in terms of floor space in the scan room. However, due to the suspension rails that need to be installed in the ceiling of your facility, ceiling-mounted options generally cost more than floor-mounted. On the other hand, an increased efficiency in the cath lab suite can add up to significant time savings and increased patient throughput.

Floor-mounted cath labs. Floor-mounted c-arms rotate around a fixed point in the scan room floor. Because there is not a need for ceiling rails or the greater ceiling heights they require, installing a floor-mounted cath lab system takes less time and has a lower potential need for remodeling. On the other hand, the fixed nature of a floor-mounted positioner reduces options for usable floor space.

Often, the choice between these two mounting styles comes down to user and space preferences.

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