I'm running Windows 11 Pro on Apple Silicon (ARM64) via Parallels. I have VS 2022 Pro installed, and browsing the Extensions, it doesn't show Clang Power Tools.
I downloaded and ran the VSIX, and the dialog I get is:

Here is the log, other than not being signed, I can't see why this wouldn't install:
dd_VSIXInstaller_20250527105918_3a0c.log
VS About Info:
`Microsoft Visual Studio Professional 2022
Version 17.13.3
VisualStudio.17.Release/17.13.3+35828.75
Microsoft .NET Framework
Version 4.8.09032
Installed Version: Professional
Visual C++ 2022
Microsoft Visual C++ 2022`