For years we would use an american-thread 4-40 plastic screw. A matching metal nut on the back side of the heat sink will be necessary.
Back in the day a local electronics distributor would have "Waldom" brand hardware on hand. Usually included plastic screws, but only in US sizes.
The M3 screw used by the factory and the matching nut are on Ebay if you turn over enough rocks.
Odds are the hole in the heat sink is not threaded. If it is you won't need a nut for the replacement metric screw. And if it IS threaded, you'll want to know that the thread pitch is 0.1 mm.
A junked radio would willingly donate a long, skinny TA7222 mica.
You can slip a common TO-220 rectangular mica under the chip's metal tab, one on each side of the screw. No need to trim it down. The tiny gap just above and below the screw hole won't cause a short from the tab to the heat sink so long as each mica is butted against the screw shaft. I suppose you could nibble a tiny notch in one or both where the edge meets the screw shaft, and close that gap.
More than one way to skin a cat.
73