A guidewire advancing device used in connection with medical devices for providing intravascular access for advancing substantial length of guidewire used to place such medical devices within the anatomical structure. A method of managing substantial length of guidewire for use with medical devices. The guidewire advancing device includes a longitudinally extending wire guide which is removably secured to the medical device and which includes a longitudinally extending channel. The guidewire extends the length of the channel to be advanced along the channel.