A medical guidewire (28) includes a flexible spiral coil (52) , a fiber (54), and a strengthening element. The coil is configured to guide a medical device into a patient body. The fiber extends along at least part of the coil, is coupled to the at least part of the coil at one or more first predefined locations and is configured to mechanically strengthen the at least part of the coil. The strengthening element is coupled to one or more second predefined locations along a distal section of the coil, and is configured to mechanically strengthen the distal section.