The fact that it's a filter graph for shuttling buffers between sources and sinks lends itself to both buffers for audio and buffers for video. An application that generates video frames could decide to send its video frames to pipewire, and an application that accepts video frames could accept them from pipewire.
This is how screensharing through xdg-desktop-portal (linked in my sibling comments) works. The xdp implementation gets screencapture frames from the compositor and pushes them into pipewire, and the screensharing application (browser, etc) pulls the frames from pipewire.
This isn't new; DirectShow on Windows, and its successor Media Foundation, are also based on graphs. Put "windows graphedit" and "windows topoedit" in an image search engine for examples.