BIzTalk ESB Causing error in Visual Studio 2019

Microsoft BizTalk ESB Toolkit Is causing this error in Visual Studio 2019. When clicking tools after installing BizTalk ESB get the error ItineraryDslPackage did not load correctly. Tried deleting ComponentModelCache under Local > MicroSoft? VisualStudio Tried deleting folder 16.0_bf9ba272 under Roming>MicroSoft VisualStudio.

I reached out to MicrosSoft Visual Studio support but they were no help. Any ideas on how to fix this?