Windows Message Queuing 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 have a deep understanding of the system. Successful exploitation is not guaranteed and depends on a combination of factors that might include the environment, system configuration, and the presence of additional security measures.

How could an attacker exploit this vulnerability?
An unauthenticated attacker could exploit this vulnerability by sending a specially crafted packet to an affected service over the network. Successful exploitation could allow the attacker to execute code on the target system. No authentication or user interaction is required.

Security updates
10.0.14393.9688 — https://support.microsoft.com/help/5131291
10.0.17763.9487 — https://support.microsoft.com/help/5131085
10.0.19044.7846 — https://support.microsoft.com/help/5131096
10.0.20348.5870 — https://support.microsoft.com/help/5131090
10.0.22631.7711 — https://support.microsoft.com/help/5131087
10.0.26100.9974 — https://support.microsoft.com/help/5132061
10.0.26100.9911 — https://support.microsoft.com/help/5132043
10.0.26100.33822 — https://support.microsoft.com/help/5131080
10.0.26100.33730 — https://support.microsoft.com/help/5131077
10.0.28000.3501 — https://support.microsoft.com/help/5132059