vsexe.exe (Visual Studio Executable Launcher) is a wrapper utility designed to launch an executable under the Visual Studio 2012 profiler. It automatically sets up the necessary environment, starts the profiling session, and attaches the profiler to the target process.
Without cleanup, you might see:
While VSPRECLEANVSEXE is not a critical system file, it's not recommended to delete it. Here's why: vsprecleanvsexe visual studio 2012 exclusive
Key components include: