At $43, that is approximately half the price of a new Roma. I find Savinelli pipes to be great smokers for the money, I own 5 and none are "duds". I own a Roma and its a great pipe.
If you find the condition acceptable to you for the price- go for it. If I was offered a Roma for $43 and the stem was in great condition, rim char was minimal, and general wear was minimal- I'd bite. However, if there is even moderate stem wear/chatter/tooth marks, significant rim char, etc....I'd save $30 and go new.
So, generally- $43 should get you a real nice pipe, unless its beat up. As far ask "risk"- I find Savs to be pretty consistent so if a $80-90 factory pipe of of acceptable quality to you (it is to me)- then I'd say there's a real good chance you'll have a nice new friend.