Not Updated For Current Season
I prefer playing vlad this way because it can offer a lot of survivability with dmg. Usually at end game u are sitting around 4000 hp. Spirit visage allows you to heal more with transfusion and give u increased cd reduction so u can sanguine pool more often and get away or prevent escapes and then with mejais and your ulti u should be able to get stacks. rylis is just a great choice with vlad because u get both hp and ap. And just remember that to keep casting transfusion in fights it should be at a 2 sec cooldown.