Microsoft Message Queuing (MSMQ) Remote Code Execution Vulnerability

According to the CVSS metric, the attack complexity is high (AC:H). What does that mean for this vulnerability?
Successful exploitation of this vulnerability requires an attacker to gather information specific to the environment and take additional actions prior to exploitation to prepare the target environment.

How could an attacker exploit this vulnerability?
To successfully exploit this vulnerability, the target server must be configured to allow remote activation of the COM object. In addition, the attacker must have sufficient user privileges on that server.

Security updates
10.0.17763.5696 — https://support.microsoft.com/help/5036896
10.0.20348.2402 — https://support.microsoft.com/help/5036909
10.0.22000.2899 — https://support.microsoft.com/help/5036894
10.0.19044.4291 — https://support.microsoft.com/help/5036892
10.0.22621.3447 — https://support.microsoft.com/help/5036893
10.0.25398.830 — https://support.microsoft.com/help/5036910
10.0.10240.20596 — https://support.microsoft.com/help/5036925
10.0.14393.6897 — https://support.microsoft.com/help/5036899
6.0.6003.22618 — https://support.microsoft.com/help/5036932
6.0.6003.22618 — https://support.microsoft.com/help/5036950
6.1.7601.27067 — https://support.microsoft.com/help/5036967
6.1.7601.27067 — https://support.microsoft.com/help/5036922
6.2.9200.24821 — https://support.microsoft.com/help/5036969
6.3.9600.21924 — https://support.microsoft.com/help/5036960