The invention discloses an intracranial
peripheral heart multifunctional pacing guide wire based on
optical fiber sensing, and relates to the field of
medical instruments, and the pacing guide wire comprises a near-end interface section, a middle sensing section and a far-end sensing section which are sequentially connected from the near end to the far end; the middle sensing section comprises a layered coaxial structure, and the layered coaxial structure comprises a core layer, a sensing
waveguide layer wrapping the core layer, a conductive layer wrapping the sensing
waveguide layer and a lubricating layer wrapping the conductive layer from inside to outside; a
polymer waveguide extending in the axial direction of the guide wire is arranged in the sensing waveguide layer, and the track of the
polymer waveguide is a three-dimensional
spiral line. The three-dimensional spiral
polymer waveguide is integrated in the sensing waveguide layer, the intuition and reliability of navigation can be remarkably improved, information guarantee is provided for the pacing
electrode to accurately reach and stably abut against the heart target spot, and therefore the success rate and safety of an operation are improved.