Had a mate who lived in a flat with it fitted, noisy when the bearings strted going on the fans, huge box in cupboard to heat the air, and steel vents above each door and vents in wall at low level.And even if you didnt use it you could still hear the neighbours system next door , upstairsand below working, like a demented hamster in a wheel.
also worked in a bungalow which had the system de activated and a water system being installed, i had the job of ripping out the huge trunking that went under the floor and then appeared in the room as floor or wall vents, probvided a good space to fit a hiden safe and deposit area for valuable stuff.
Finally with the flor vents stuff can be dropped doewn the slots by small kids, and also if a vent cover is left off , then rodents can crawl in and die with the resultant pong.
But then the above was 10 to 15 years ago and never heard of systems being installed nowadays, because basicly it was crap expensive and needed to be built into the house not retro fitted like water, underfloor , storage etc.