As was easily predicted, Elise is still UP after the patch, she still suffers the same problems she suffered before, and IHMO they come from the fact that her skills do not sinergize well late game and her itemization is rather poor.
Items wise she needs:
It is simply too much and current items do not support it, yes you could do something with 5 3k+ items, but that is not really viable.
Skills wise, she is simply too focused on lanning and ganking, something that lategame simply can not be exploited. The jihadist spider other that throw and pray is not really good in team fights, her Q is a "good" poke, but thats it, her stunt is some what useful, but in all likellyhood its used either to initiate or hunt down a kill. Melee you simply get melted and have no sustain and her human ranged damage is quite frankly awful.
I got a few good games with her, but i know i would simply do much better with other toons. Why would you play her and not Jayce or any other range Carry?. As it stands her human form is lackluster, and her spider form UP.