Your best bet is to have the cartridge re-tipped or rebuilt(which is more commonly done) by the original manufacturer. This is especially true of the Koestu cartridges. If Koetsu is rebuilt by somebody else, it is no longer a Koetsu. I have heard experience after experience from people who have done this, and were disappointed.
If you have a VDH cartridge, then send it to VDH for a rebuild. If you have a Koetsu, then send it to Koetsu. If you do the opposite, you will have a VDH/Koetsu, which is not the same thing. It will not sound the same, and it will not be the same. Most people that want Koetu, want to keep the Koetsu sound, not have a VDH sound in a Koetsu body.
Just my 2 cents.