An airplane carrying Otto Warmbier, who's from Ohio, arrived in Cincinnati shortly before 10:20 pm (local time). Two ambulances were parked near an airport hangar.
Warmbier's release came during a visit to North Korea by former NBA star Dennis Rodman, one of few people to have met both North Korean leader Kim Jong Un and President Donald Trump.
Department of State spokeswoman Heather Nauert told reporters Rodman had nothing to do with Warmbier's release. Rodman had told reporters before arriving in Pyongyang that the issue of Americans detained by North Korea is "not my purpose right now."
While North Korea's move to free Warmbier could potentially provide an opening for talks on security issues, the prospects still appear bleak. International negotiations on the dispute over North Korea's nuclear program have been in limbo for years, as the US cranks up economic sanctions and North Korea won't give up weapons it considers a guarantee against invasion.
The detention of Americans, often sentenced to draconian prison sentences for seemingly small offences in the totalitarian nation, has compounded tensions between Washington and Pyongyang. Three Americans remain in custody.
Tillerson announced that the Department of State had secured Warmbier's release at the direction of the Republican president. He said Warmbier, of Wyoming, in suburban Cincinnati, was en route to the US.
Warmbier's parents, Fred and Cindy Warmbier, said he was in a coma and was flying home. They said they were told he has been in a coma since his trial, when he was last seen in public, and they had learned of this only one week ago.
In Wyoming, resident Amy Mayer said news of his release had sent waves of shock and joy through the neighbourhood. A White House official said Trump had instructed Tillerson to take all appropriate measures to secure the release of Americans held in North Korea. The official referred to them as "hostages.
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