An apparatus comprising: an elongated member having a proximal end and a distal end; a conduit disposed within the elongated member; an exit port disposed on an outer surface of the elongated member in fluidic communication with the conduit; and at least one threaded fixation structure extending around a portion of an outer surface of the elongated member and configured to engage tissue within a patient to resist migration of the medical lead, wherein the conduit is configured to deliver a therapeutic agent to the patient via the exit port.