In this paper we introduce a novel hybrid graph-based approach for Guide-wire tracking. The image support is captured by steerable filters and improved through tensor voting. Then, a graphical model is considered that represents guide-wire extraction/tracking through a B-spline control-point model. Points with strong geometric interest (landmarks) are automatically determined and anchored to such a representation. Tracking is then performed through discrete MRFs that optimize the spatio-temporal positions of the control points while establishing landmark temporal correspondences. Promising results demonstrate the potentials of our method.