A vascular access device includes a sheath body defining an outer surface and a lumen extending between a first end of the sheath body and a second end of the sheath body. The sheath body has a length of at most 7 cm. Further, the sheath body has a vessel opening defined through the first end in communication with the lumen and an access opening defined through the second end in communication with the lumen. A plurality of perfusion windows extend between and are open to the lumen and the outer surface of the sheath body, each of the plurality of perfusion windows being located within about 3 cm of the first end of the sheath body.