When I moved to Canada, I discovered that N American cylinders have a different thread to the UK ones, so my regulators didn't fit. Can't pretend I was particularly surprised, although I was surprised to find that I could simply buy a replacement nosepiece (no idea what they are called but I'm talking about the stub that connects the regulator to the cylinder with the offending thread). It only cost a few dollars / quid. The main issue was finding out whether the thread in the regulator body was RH or LH (LH in fact). And when I returned, the original parts went back in,
So the cheapest option may be to see if your local welding supplier (or ebay) keeps such a part? If you don't ask you don't get and there aren't many countries that are weld free.
The US threads seemed to "almost" fit. But with a cylinder pressure of 200+ bar, you want to have pretty thick rubber pants on, house insurance that covers every window (and roof) in the house and make certain the cylinder is very securely anchored to take the risk. Alternatively it may be worth coughing for the correct fittings – just a thought.
Murray