Medical devices, systems and methods for providing visualization as well as support and/or stability for blood vessels during procedures for inserting electrical leads are disclosed. One aspect of the device may include a longitudinal member having a distal end and a proximal end, an expandable element near the distal end of the longitudinal member for providing support to the blood vessel, and a contrast release port near the distal end of the longitudinal member for releasing a contrast medium into the blood vessel to visualize the blood vessel.