“…In comparison, a survival rate of 90% [5,8,9,45] has been achieved with vitrification in 2.7 M ethylene glycol + 2.1 M dimethyl sulphoxide + 0.5 M sucrose in an open system initially reported by Katayama et al, (2003) [46]. This level of survival has repeatedly been obtained [10,[47][48][49] but not by all groups (77%; [50], 81%; [51] and when used in conjunction with a closed system has resulted in a reduced survival (75%; [52]). Manipulation of the equilibration of the permeable cryoprotectant and water prior to vitrification in a closed system has resulted in a high rate of survival (95%) only previously observed in open systems but blastocyst development appeared to be reduced [40], possibly as a consequence of ultrastructural damage [53].…”