Abstract: An infusion guidewires assemblies and methods are provided that can be used for infusion of fluid at desired location within body lumen of a patient and to facilitate placement of catheters and other devices into a body lumen of a patient. The infusion guidewire assembly includes a guidewire shaft having a distal end, a proximal end and a fluid delivery lumen therethrough. The guidewire assembly further includes an infusion hub adapted to be removably mounted on the proximal end of the guidewire shaft, wherein the hub provides fluid connection to the fluid delivery lumen; and a guidewire coil attached to the distal end of the guidewire shaft. The guidewire shaft of the assembly includes a plurality of infusion ports formed over a distal region proximal to the guidewire coil.